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r� Seaport Environmental <br /> NON-HAZARDOUS WATER TRANSPORT FORM <br /> GENERATOR INFORMATION CUSTOMER INFORMATION <br /> MP Environmental MP Env;ronment <br /> various sites <br /> Ca PO <br /> DESCRIPTION OF WATER Monitonng Well Sampling <br /> NON-HAZARDOUS WASTE WATER,MONITORING WELL PURGE WATER AND/OR AUGER RINSATE,TANK RINSATE OR ABOVE <br /> DESCRIBED WATER THIS WATER MAY CONTAIN DISSOLVED hYDROCARBONS 1 CERTIFY THAT THE ABOVE NAMED MATERIAL <br /> IS A LIQUID EXEMPT FROM RCRA PER 40 CFR 261 4(b)(10)AND DOES NOT MEET ThE CRITERIA OF HAZARDOUS WASTE AS <br /> DESCRIBED IN 22 CCR ARTICLE 11 OR ANY OTHER APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED <br /> CLASSIFIED AND PACKAGED AND IS IN PROPER CONDETION FOR TRANSPORTATION ACCORDING TO APPLICABLE <br /> REGULATIONS <br /> { <br /> GeneratorlAuthorised Agent Sign date <br /> SITE INFORMATION <br /> various saes, GROSS <br /> TARE <br /> CB NET <br /> TOTAL GALLONS 7!� <br /> calCuiaied ai 9 341�-s per USG <br /> TRANSPORTER INFORMATION TH ( 17 <br /> Truck ID <br /> MP Environment <br /> Driver t'I1rf3'z� <br /> Print full name sign da! <br /> TIME OUT <br /> TIME IN <br /> TIME SPENT <br /> DISPOSAL FACILITY INFORMATION EPA ID CAL 000032058 <br /> Seaport Environmental Approval Number Solids %Wt pH <br /> 675 Seaport Boulevard 901 - 9$5 <br /> Redwood City,Ca 94063 <br /> Phone (650)364 1024 <br /> Solids Surchar <br /> IUSG <br /> Received bye a V 00 <br /> . Print full name&sign date <br />