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<br /> Monitoring Well Purge Water Transport Form
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<br /> Name: Mobil Oil Corporation _ Attn: Steve Pao
<br /> Address: 3700 West 190th Street, TPT-2
<br /> City, State, Zip: Torrance, CA 90509-2929 Phone: (310) 212-1877
<br /> Description of Water: monitoring well u e water
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<br /> The generatoreertiifes Mat this water Kevin Keenan
<br /> as described Is non-hazardous, for Mobil:
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<br /> Date Mobil Amount Sampler's Date Mobil Amount Sampler's
<br /> Generated Site No. Generated Initials Generated Site No. Generated Initials
<br /> 1 —zs- O'j -3-a x 6a sr''1 16
<br /> 2 9•. _:r. --7v^ 17
<br /> 3 18
<br /> 4 19
<br /> 51 20
<br /> 6 21
<br /> 7 22
<br /> 8 23
<br /> 9 24
<br /> 10 25
<br /> 11 26
<br /> 12 27
<br /> 13 28
<br /> 14 29
<br /> 15 30
<br /> Total:
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<br /> Name: Clearwater Environmental Management
<br /> Address: P.O. Box 7420
<br /> City, State, Zip: Fremont, CA 94555 P one: 800 49 76
<br /> Truck ID No.:
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<br /> Name: McKittrick Waste Treatment Site
<br /> Address: 56533 Highway 58 West
<br /> City, State, Zip: McKittrick, CA 93251 Phone: (805) 762-7607
<br /> Approval No.: 1195-1065-PS SPA -a 37-c1Z
<br /> (Typed or printed full name 8 signs ure) Date)
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<br /> g:lgenerallformslmon-weli.xls 11/30/95
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