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iIwM, TwC i <br /> AMmval No NONHAZARDOUS WATER TRANSPORT Twict No <br /> CERTIFICATE OF DISPOSAL �� <br /> GF-MUtATOlt fNFORMAnON 'CUSTOMER MORMATION <br /> Name Soutbland Corporation Name r*%L Inc <br /> Addrm 10720 SW 222Mm 470 Address 950 Aags Avenue <br /> CZY. Stare, Z"P Portland, OR 97233 CCY, State, ZW Nr6 oitas, CA 95035 <br /> Pumbaw Oidkr# <br /> GENERATOR CERTIFICATION OF NON-F1AZARDOUS WASTE <br /> De=gmm of Wmer rxmv=m Dewat <br /> m0N4IAZAP'=5 WASTE-WATER MON1TO wo wtu P uRGE W ATFR ANDA) l AUGER RINSA'TE.TANK <br /> RMA'IE OR ABOVE DESCMM wATER THIS WATstMAY COrNTA N DISSOLVED HYDROCARBON& I <br /> CERTIFY THAT TM BELOW NAMM MATERIAL IS A LXQ[=EXEWT FROM RCRA PFA 40 CSR 261.4MXIO) <br /> AND DDES NOT IST THE CATFIItIA OF HAZARDOUS WASTE AS DESCRMED nv u CCR ARTICLE 11 OR ANY <br /> 07FIFA APFUCABIX STATE LAW_HAS SEEN PROPERLY DESCRUMD CLASSIFIED AND PACKAGED AND LS <br /> IN PROPER C.ONDFIION FOR TRAN5PMTATI0N ACCORDING TO AP' lCADLE REGULAT-10M <br /> Ciountod Au&wi=d Agit Srgeaturz Dma <br /> iSITE OfFORMATIONI <br /> IWM Yob# sl"# Site Address of Drum Can= <br /> k24 l;w 14117 2725 W Country Club PIA Stockton CA Z q0 <br /> E=mazed TcW 0 <br /> TRANSPORTER UffORII"nON DISPOSAL FACILITY INFORMAIIGN <br /> Name _IW'K lac Name S6-mma Eavummaital <br /> Address- 950 Amps Aymue A4drms 675 S Blvd <br /> CA 95035 Port of Redwood City, CA 94063 <br /> Ph=e 409-942-8955 phone 65Q364-1024 <br /> Truck ID* D� <br /> Duvet Nx03A -lbe C-1 C?Q�— <br /> 5 store Dzte <br /> DOC(TRANPRT FRM) <br /> TOTFL P 04 <br />