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Fe•ti- 10-00 00 : 10 Seaport Petroleum 6SO 3641021 P 02 <br /> ■ Seaport Environmental <br /> NON-HAZARDOUS WATER TRANSPORT FORM <br /> GENERATOR INFORMATION _ CUSTOMER INFORMATION <br /> MP Envlronmentaln, MP Envronrnentr.�� <br /> various sites <br /> Ca PO I <br /> DF-SC RIPTION OF WA rER Monrlprincg Well Sampling <br /> NON HAZARDOUS WASTE WATER MONITORING WELL PURGE W4 T;n ANDrOR AUGER RINSATE TANK RINSA T E )R,-�5C E <br /> DESCRIBEn WATER THIS WATER MAY CONTAIN DISSOLVED HYDROCARBONS I CERTIFY THAT 1 HE ABOVE N-MEL) <br /> IS A LIQUID EXEMPT FROM RCRA PER 40 CFR 261 4 (11)(1DyAND DOES NOT MEET THE (,RiTERIA OF HAZAPDOUS V'ASTE AS <br /> UESCRIBED IN 22 CCR ARTICLE 11 OR ANY OTHER APPLICABLE STATE LAW HAS BEEN PROPERLY I)ESCRIBED <br /> CLASSIFIED AND PACKAGED AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING Te A,�RLICADLE_ <br /> REGULATIONS <br /> GoneratorrAuthorlsed Agent Srgn date <br /> SITE INFORMATION <br /> various sites GROSS <br /> TARE <br /> Ga NET <br /> TOTAL GALLONS <br /> t . -ZGo R 12 oe <br /> �.a.. ar�n .rs.•a. <br /> TRANSPORTER INFORMATION <br /> Truck ID � 7S— <br /> MP Environment <br /> Onver <br /> Print full name sign Cate - <br /> TIME OUT l 2"1 <br /> TIME IN <br /> TIME SPENT 1 <br /> i c. <br /> DISPOSAL FACILITY INFORMATION EPA ID CAL 000032055 <br /> Seaport EnvIronmentall Approval Number Solids %Wt PH <br /> 675 Seaport Boulevard <br /> 901 <br /> Redwood City, Ca 94063 +`J <br /> Phone (650)364 1024 <br /> So Surch e <br /> C SG <br /> J <br /> � I � <br /> Roce:ved by <br /> Print full name 8 sign a <br />