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t <br /> Hauler Document OallyFieldTIAetNo. <br /> NON-HAZARDOUS Waste <br /> �2l f l 'a9.25 <br /> 0 <br /> ALTERNATE TOS FACILITY N <br /> DESIGNATED TSL) FACILITY -4GENERATOR <br /> 11 <br /> Name:ao <br /> Nama:�L. EPA k _ <br /> EPA p <br /> -__ -- <br /> --- x <br /> EPA tl�— .'__"_--.-_- �' t�r'+F' Address: <br /> Address: <br /> Addrass: <br /> Order Date: <br /> Order placed: — 1� , . / <br /> OTNER� Tank Truck <br /> WASTE [3 . DRILLING MUD U - GASWEi-L WATER K.. ontaine : Q Dump Truck <br /> Weight/Volurne -)�'_t�—fit Unit$ <br /> i_2.9­68 <br /> Thls MAO";*nunhflf Maus l+eesuset � OATf <br /> 1l it lea O.udnp mud canuininy only NG H`It �'hl�ic mliaMlelrom nsNral eoWapar A rA17rFrWN2EDAGINT <br /> NNar fnc cardfine no elpnlNcenr:GnC9n <br /> 2]if a fullur-d1axid,fwubber 601"Ga 1r. 2 e a ChghCiaFfi >•or NfdWO �*(bed�rb 011 <br /> held ball*( lerubbef &Y'"' ehd Voflffel n0 chaaaClartdke lrl\t waui4 nwiN Ilt J /. �y�y <br /> hfnW"'dllnp el a huefdddW"' Y,.fE Ci CT• p� C <br /> 12E� Pic}�-UpDate 7 <br /> TRANSPORTER Jab Na. <br /> Warren E. oomea Exc., 1,10. aIONArIWEdFBVYER 5 <br /> P, O.gnat 369 Unit NO. n <br /> a <br /> RIO Vista, CA 94571 <br /> (707)374-2881 - _— <br /> EPA#CA0076557370 — -�— <br /> Method of DISPosah <br /> ' f ❑- Injection Well <br /> TSD FACILITY 35"N5 C,p U0f4S_ n - Landoll <br /> QTY Measured - n- Land Treatment <br /> OTHER o - Surface tm Oundment <br /> Narne —� <br /> C] - BBL [] - TONS � ' `�!Other FtC _--�-- <br /> EPA <br /> UATE <br /> $16NATU0.40f AVtHOrEl2 GO AGF?.'T <br />