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w� No <br /> NON-HAZARDOUS WATER TRANSPORT <br /> Twkx No <br /> SP8-8'4v CERTIFICATE OF DISPOSAL st80348 <br /> GENr&ATOR INFORMAnON CUSTOMER INFORMATION <br /> Name South and C ratron Nasse rwpA, Inc <br /> Addms 10220 SW ggeobn Rd, 470 Aadcess_ 950 An= Avenue <br /> Czty- Smc- ZIP- P*Mknd, OR 97233 City, Stue,ZsP N61 'tas, CA 95035 <br /> Piarbase Owder# <br /> GENE-VATOR CERTMCATFON OF NOIR-HAZARDOUS WASTE <br /> Desc r4n=of Watff- rowavancm Dewat <br /> NON HAZARDOUS WASTE WATER MaMTOUNG WELL PURGE WATER AND/OR AUGERRINSAM TANK <br /> R94SATE Cit ABOVE DESCRIBED WATER- TFUS WATER MAY CONTAIN DISSOLVED HYDROCARBON& i <br /> CERTIFY THAT THE BELOW NAMMD MATERIAL TS A I.1QM EXEMPT FROM RCRA PER sp CFR 261.4(BX10) <br /> AND DOES HOT MMT TfM CRrr RIA OF HAZARDOUS WASTE AS DFSCRUAW IIT 22 CM ARTICLE 11 OR ANY <br /> OTMM APPLICABLE STATE LAW,HAS BEEN PRCOMLY DESCMM.c ASSMM AND PACKAGFD AND LS <br /> IN PROPER CONDI LION FOR TRANSFORTAnON ACCORDING TO APPLICABLE REGUL ATIONS <br /> AMP MANob,MK -194X"w1v 4SMTjjp4 —�" -"p <br /> /Au&==W Ag=oc Sgpatum Dace <br /> SITE INFORMATION <br /> 1WM Jab 4 site if Sne Address 9 of Drum Gallais <br /> 14M 2725 W Country Club Blvd, Stockton CA p pQ <br /> E=Unaaccd T*W (a{7a fl <br /> TRANSPORTER MFOR74ATION DISPOSAL FACTLTC"Y D"RMAlION <br /> Nam IW1VL lac Name Seaport P�vumme�l <br /> Address- 950 Amis Avone Address 67S &mort Blvd <br /> Milpkas,CA 95035 PoR of Redwood City, CA 94063 <br /> Fhms 408-942-8955 Pbcme 654-364-1024 <br /> Trude ID *- I lo-z— _ <br /> Dr%,cr Nasse Rj; 1 ipe +► n - <br /> Signature D� <br /> DOC{TRANPRT ERM} <br /> TOTPL P 04 <br /> TOTAL P 0E <br />