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ON <br /> NTROL <br /> BAN j*AqUtN <br /> �AVeYrAX' Sag'f0�#ii�dCaeaktan TCAG <br /> 95201 <br /> led 1 Br Rh•X�iB� <br /> Autho:cl.eatiaxl ZtWaber <br /> 1. AUTRORIZATxON °rO 28 ISSUED TO: (But <br /> ineas license same of Corporations <br /> • Co�+gaAYo XnAjvtdu&l,�OWnerr partAer, or Governmental ASanaY• ) <br /> VAIIXNO <br /> . <br /> sw i*m <br /> B. ADDRESS AT WHICH THE 8071, WAS CONTAMINATED: <br /> "ADDII k i-AT VgtCR THE BOIL *XLL SADgCONT MIttATBD! <br /> Nye A0_ 01 � <br /> Sa TOTAL VOLUME OF THE <br /> CONTAMINATED SOIL �b�.a Yards) ** <br /> r� <br /> THE BOILS (Attach OPticial Boil test resu�.ta. I <br /> ORGANIC CaN�NT 0_v 1 <br /> Continue an mdditional page i2 ne068sary) <br /> COMPOUND CONCgNTRATXON (PPHo by weight) <br /> 84" Pon <br /> . <br /> set <br /> 7 SC <br /> 7. DA'S CONTAMXNAT-D BOIL DISCOVERED. y ,6r , <br /> S• DATE CONTAMINATED SOIL WILL B8 EXCAVATED: <br /> ti <br /> �z <br /> 9. WILL TRE EXCAVATED SOIL A8 COVEREDY � <br /> 141• D&TE AERATION WILL BEGIN: <br /> 11. gVANTITY OF SOIL TO BE AERATRD PER DAY (cubic Yards) : r <br /> 12. S10 NA R OF APPLICANT: TITLE: } � <br /> TYPE ORP T NAME OF STONER:Z. <br /> TgLpHONE NOS: <br />