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SOP-06-01 20 66 Seaport Petroleum 660 3641021 P _ 01 <br />' Seaport Environmental <br /> �r <br /> NON-HAZARDOUS WATER TRANSPORT FORM <br /> OESERATOR INFORMATION CUSTOMER INFORMATION <br /> Adva%od Goo Environmontal American Valley Waste OII <br />' var <br /> Ca ious- on file <br /> PO tf <br /> L)"CR PTION OF VVATEk Morrltoring Well Sampling/UST remediation <br /> N0N-HAZARD0US WASTE WArcR MONITORIN(,WELL PURGE WATER AN11K0R AUGER RINSATE TANK W NSATE OR ABUVi- <br /> DCSCRIBECD WATLK rr+IS WATER MAY CONTAIN DISSOLVED HYDROCARBONS I(.Er{TIFY THAT THE ASUVE NAMED MATERIAL <br /> iS A LIOI.JfO EXEMPT FROM HVIRA PER 40 CFR 201 4(0)(10}AND ROES NOT MEET THP CRITER.A OF HAZARDOUS WASTE AS <br /> 0E5CR1BFl)IN.1t CCR ARTICLE~ 11 OH ANY OTHER MRII(,AkLE STATE LAW HAS$FEN PRQPCRLY DESCRt8EIJ <br /> C.ASSIFIED AND HAOXA13CO ANO IS IN PROOGR CONOiTtONFCR rKANSPORTATION ACCORDING TO APPLfCMLtE <br /> REGULATk)NS <br /> GerwratorlAuthonsed Agrnt Sign date <br /> ' SITE INFORMATION <br /> Var aus on file GROSS <br /> TARE <br /> C a 51-1 flJ e5T ��.ma r�T <br /> NET 7 so <br /> TOTAL GALLONS <br /> , „y sslSuesorVu i <br /> TRANSPORTER INFORMATION <br /> TruaK1D -� <br /> ' American Valley Waste Oil <br /> t}rlknc. 11- - <br /> ' Print full name 5 sign date <br /> 1 TI6AE OUT <br /> TIME IN <br /> TIME 510r"NT <br /> DISPOSAL FACILITY INFORMATION EPA ID CAL 0,111,1111, <br /> ' Seaport Environmental Aoproval Number 591106'/.Wt pH <br /> 676 Seaport Boulevard 3g2 - 181 <br /> 1 Redwood City, Co 94063 <br /> Phgnc (830)364 1024 <br /> i Solids Surcharge <br /> Received by �i�C� v /w- 1 _ f C, _ U <br /> ' Print full name 6 sign ata <br />