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i <br /> NON—HAZARDOUS WATER TRANSPORT FORM <br /> I GENFRATOR INFORMATION <br /> CUSTOMER INFORMATION <br /> AUTO INVESTMENT CORP. NOR CAL OL WC <br /> 424 N. VAN BUREN ST 209 667 6692 <br /> STOCKTON, CA 95203 <br /> PO # <br /> DESaMMON OF WATM Storm Vater Cbilette n <br /> NONHAZARDOUS WASTE wATEFL ONIToFaN(; Wali KMG;Z WA-0 ANWC)R Arm RMSAM TAW RL+�S4TE OF.A.� <br /> S A IQU KEMP TW6 1��TCt M,�'f uUvkAN u+z6 cAveu NTD S„ l �Y THAT THE ABOVE HMO MAT7� <br /> LS S L1SM DiZZ C R AR R .E PER 40 CFR 261.4(b)(10)AND DIM NOT 1�TTME(�A OF HAZARD=WASTE AS <br /> OR OE.CRIBE"D IN Z2 CCR _ <br /> SSM® AND PACKAtEp AjgC) IS PRCMABLE SrATRAHS?�ORwrATION�� Y <br /> TmNS. C0713ITION TO APPL ICA" <br /> Cone rator/Authort5ed Ag :nt <br /> date <br /> SITE INFORMATION <br /> AUTO INVESTMENT CORP . Gly <br /> 424 N. VAN BUREN ST. TARE <br /> STOCKTON, CA 95203 <br /> HET <br /> •' -rare aAUjO t ZI <br /> caftmo4 w Pw usa <br /> TRANSPORTER INFORMATION <br /> NOR CAL OIL <br /> P- 0 BOX 645 Truck ID= 13 <br /> I DENAIR , CA 95316 <br /> Driver- <br /> Print !WI name & stign <br /> Fwa ....._.. <br /> FORMATION <br /> I Seaport Environmental <br /> Approval Number Sadlds %W= <br /> 675 Seaport Boulevard G H <br /> Redwood City, V 9 <br /> I n 15 <br /> Phone: (650) 364 lOZ4OZ4 <br /> Solids Surcharge <br /> Recemod by- <br /> Prmt tuii name & sign <br /> cftte <br /> I <br />