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TF NUMBER SP030896 <br /> NON-HAZARDOUS WATER TRANSPORT FORM <br /> DESCRIPTION OF WATER MONITORING WELL PURGE WATER, MONITORING WELL DEVELOPMENT <br /> WATER AUGER RINSATE WITH TRACE AMOUNTS OF DISSOLVED HYDROCARBONS GENERATED DURING <br /> SUBSURFACE SITE INVESTIGATIONS AT UNDERGROUND STORAGE TANK SITES <br /> SITE INFORMATION <br /> Responsible Part)(s) IWM Jab Approval umSite Address Gallons <br /> _ Number Number bc <br />' 1 Quik stop 60138-BW 3695 P=I Avenue San Jose, CA <br /> 2 <br /> t3 <br /> 4 <br /> 6 <br /> 8 <br /> 19 <br /> 10 <br /> 11 <br /> 14 <br /> Total Gallons g O <br /> TRANSPORTER PUROMATION <br /> NAME_ <br /> INTEGRATED WASTESTREAM MANAGEMENT <br /> ADDRESS. <br /> 950 AMES AVENUE. PHONE#: (408) 942-8955 <br /> CITY,STATE,ZIP: <br /> MILPITAS, CA 95035 <br /> t <br /> Truck Number Driver Signature and Date <br /> RECEIVING FACILITY <br /> NAME. <br /> SEAPORT ENVIRONMENTAL <br /> ADDRESS- <br /> 675 SEAPORT 13LVD PHONE# (415) 364-8154 <br /> IWI TY,STATE,ZI P <br /> REDWOOD CITY, CA 94063 <br /> RELEASE# <br /> Fa4fthty AgenCSignature ajid Date <br />