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Approval No. Ticket No. <br /> IWK INC. <br /> SP002252 NON-HAZARDOUS WATER TRANSPORT SP021100-01 <br /> CERTIFICATE OF DISPOSAL <br /> GENERATOR INFORMATION CUSTOMER INFORMATION <br /> Name: American Savings Name: IWM, Inc. <br /> Address: 222 No Eldorado Address: 950 Ames Ave. <br /> City, State,Zip: Stockton, CA City, State,Zip: Milpitas,CA 95035 <br /> PO#: <br /> Description of Water: Monitoring Well Water <br /> NON-HAZARDOUS WASTE WATER,MONITORING WELL PURGE WATER AND/OR AUGER RINSATE, <br /> TANK RINSATE OR ABOVE DESCRIBED WATER. THIS WATER MAY CONTAIN DISSOLVED <br /> HYDROCARBONS. GENERATOR CERTIFIES THAT THE BELOW NAMED MATERIAL IS A LIQUID <br /> EXEMPT FROM RCRA PER 40 CFR 261.4(B)(10) AND DOES NOT MEET THE CRITERIA OF <br /> HAZARDOUS WASTE AS DESCRIBED IN 22 CCR ARTICLE 11 OR ANY OTHER APPLICABLE STATE <br /> LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED AND IS IN PROPER <br /> CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATIONS. <br /> SITE INFORMATION <br /> IWM Job # Generator Site Address #of Drum Gallons <br /> 90605-DW ana;—Svgs 222 No Eldorado - Stockton, CA 2 <br /> Estimated Total 2 <br /> TRANSPORTER INFORMATION DISPOSAL FACILITY INFORMATION <br /> Name: _IWM, Inc. Name: Seaport Environmental <br /> Address: 950 Ames Avenue Address: 675 Seaport Blvd <br /> Milpitas, CA 95035 Redwood City, CA 94063 <br /> Phone: 408-942-8955 Phone: 650-364-1024 <br /> Truck ID#: 102-103 <br /> Driver Name: M.M. Singh . �( . 02/02/00 <br /> Signature Date <br /> IWM CERTIFIES THAT THIS NON-HAZARDOUS WASTE WATER WILL BE TREATED AND DISPOSED <br /> AT SEAPORT ENVIRONMENTAL IN ACCORDANCE WITH APPLICABLE FEDERAL, STATE, AND <br /> LOCAL REGULATIONS. <br /> Tom Delon C;)7� 02/02/00 <br /> Printed Name& Signature Date <br /> DOC{TRANPRT.FRM) <br />