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Monitoring Well Purge Water Transport Form
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<br /> Name: Mabi! Oilaraton _ Attn: Steve pao
<br /> Address: 3700 West 19Fh Street. TPT-2
<br /> City, State, Zip: Torrance, CA0§Q9-2929 Phone:X310} 212-1877_,.
<br /> Description of Water. Monitoring well purge water
<br /> The Qeeerstor certrrfes that U)IS water Kevin Keenan
<br /> as descaedIs norr'hazatdous. for Mobil:
<br /> Date)
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<br /> 9 24
<br /> 10 25
<br /> 11 26
<br /> 12 27
<br /> 13 28
<br /> 14 29
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<br /> Name; Clearwater Environmental Management
<br /> Address: P.O. Box 7420
<br /> City, State, Zip: Fremont. CA 94555 Phon : ($00) 499- 676
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<br /> (Typed or printed U name signah4re) (Date)
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<br /> Name: NlcKittricic Waste Treatment Site
<br /> Address: _56533 Highway 58 West
<br /> City, State, Zip: McKittricK CA 93251 Phone:5805) 762-7607 _
<br /> Approval No.: 1195-1065-PS p,
<br /> (Typed or printed full namo signature) (Date)
<br /> g:lgeneraKformslmon-well.xls 11/30/95
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