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IN - <br /> IPST Soil Recyders of CA <br /> � � a _ ' Non•Hazardous Soils _ 0 <br /> a <br /> L <br /> Pate of Shipment. Responsible for Payment. TranspoA T ek 4' Facility a: Given by TPST: <br /> 2 � (pzz 3z 7 d3 � c� ( d a <br /> o <br /> enerator's Phonee: Generator's US EPA 1D No. <br /> Generator's Name and Billing AI <br /> 918.66&7633 <br /> CONOCOPHILLI PBIiKAYO Person to Contact <br /> 600 DAIRY ASHFORD ROAD JA 1024A M. Bodden <br /> HOUSTON , TX 77070 FAxa: Customer AecemmNumber w hTPST: <br /> Consultant's Name and Billing Address: CposultanPe Phone It. <br /> Person to Contact: <br /> PAxih Customer AccountNurnber with TPST. <br /> (Transport ) Site Phone fi BTEX <br /> CeneraEon Site t from : Omme Usddress) - Levels <br /> CONOCOPHILI.IPS #18671 Person to Contact: TPF' <br /> 8800 THORNTON RD Lela <br /> f tz STOCKTON, CA 06209 FAM: AVG, <br /> Levels <br /> J <br /> C <br /> facility Phonea: Facility Permit Numbers <br /> Designated Facility (Transport to): (Hanle 6 address) <br /> IBM 862-#8001 <br /> TPST SOIL RECYCLERS OF CALIFORNIA Person to Contact: <br /> 12328 H1131SCU S AVENUE DELLENA . JEFFREY <br /> ADEI.ANTO , CA WWI PAxa: <br /> Min) 918 AIN104 <br /> 'Ransporler's Phone N: Itansporter's US EPA ID No.: <br /> Transporter Nanta and Mailing Address: 949 460-6200 CAR000193913 <br /> Person to Contact: hansporter's DOT No.: <br /> 26971 TOME CENTRE DRIVE LARRY MOOTHART 460817 <br /> FOOTHILL. RANCH , CA 92010 PAM Cu lomerAccount Numbirw(th TPSI <br /> 13E81 : 102118 949 400-6210 <br /> Description of Soil olslore Content Contaminated by: Approx. MY; Description of Delivery GrossWeighl TareWelght. NetWelg(hl <br /> M <br /> 0 . 10% ❑ Gas ❑ <br /> Sand ❑ Organic ❑ 10 - 20% ❑ Diesel ❑ <br /> Clay O Other ❑ 20% - ovet 0 Other ❑ lJ 111 <br /> Sand O organic ❑ 0 . 10% ❑ Gas ❑ <br /> 10 . 20% ❑ Diesel ❑ <br /> Clay ❑ Other ❑ 20% - over ❑ Other ❑ - <br /> Listanyexception to ttemslined abore: - Scale TicketN 1 X& <br /> ; <br /> Generator's and/or consultant's certification: IJWe certify that the soil referenced herein is takor entireiy froth those soils described in the Soil Data <br /> .x� sheet completed and certified by nief is for the Generation Site shown,above and nothing has been added or done to such soil that would alter it in <br /> any way. <br /> Generator ❑ comultant ❑ 9igwtvreenddak: 1a2- <br /> Print or Type Namr J <br /> Le Moothart of BES on behalf of Conoco hlllos J� <br /> Ransporter's cc t'cation: I/We acknowledge receipt of the soft described above and certify that such soil is being delivered in exactly the same <br /> condition as token received. I/We further cert that this soil is being directly transported from the Generation Site to the Designated Facility <br /> Hwithout off-loading, adding to, subtracting from or in any way delaying delivery to such site. M nm nay <br /> r for <br /> 9111 re <br /> I <br /> c Recycling Facility certifies the recelpt of the soil covered by this Inanlfeste reptas nofedabooe: <br /> ?. Print or Type Name: Slgnetore and date: <br /> s D, AOFREY/,J. PROVANSAL <br /> �. �� �� vv <br /> I <br />