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NON-HAZARDOU9 <br /> Waste Hauler Document Daily Field Ticket No. 45170� <br /> a <br /> GENERATOR DESIGNATED TSD FACILITY ALTERNATE TDS FACILITY <br /> Name: _ Name: �'_ Name: <br /> EPA# EPA# EPA# <br /> Address: Address: //05C <br /> Address: <br /> C� <br /> Order Placed: Order Date: <br /> WASTE ❑ - DRILLING-MUD ❑ - GASWELL WATER �a- OTHER_10-0 � <br /> Weight/Volume ) 2,7 Units Container: ❑ - Dump Truck <br /> - Tank Truck <br /> This material is nonhazardous because: <br /> T)it is a drilling mud containing only the additives listed by the Department in its exemption <br /> letter and contains no significant concentrations of toxic materials from natural sources,or <br /> `)is a sulfur-dioxide scrubber solution from.a sodium hydroxise or sodium carbonate oil <br /> field boiler scrubber system, and possesses no characteristics that would require its SIGNATURE OF AUTHORIZED AGENT. DATE <br /> ,handling as a hazardous waste. <br /> TRANSPORTER <br /> Warren E. Gomes Exc., Inc. Job No. �a Pick-Up Date j <br /> P. O. Box 369 <br /> Rio Vista, CA 94571 Unit No. eZ <br /> (707) 374-2881 f S NATURE OF BUYER <br /> EPA#CAD076557370 <br /> TSD FACILITY Method of Disposal: <br /> o - Injection Well <br /> Name_1 '51 QTY Measured o - Landfill <br /> - Land Treatment <br /> EPA# ❑ - BBL ❑ - TONS `Ij- OTHER ❑ - Surface Imp�,�ment <br /> 0 - Other <br /> SIG URE AUTHORIZED MENT DATE <br /> 1 <br /> TSDF TO GENERATOR <br />