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i • � <br /> SOURCE RECORD BILL OF LADING WELL 1 D GALS WELL I D GALS <br /> FOR NON-HAZARDOUS PURGEWATER RECOVERED FROM C S-0 <br /> GROUNDWATER WELLS AT <br /> /�c 0 <br /> Client <br /> Site Name <br /> O'll V , V �l.■ f I I <br /> Street Address <br /> OGS C <br /> City, State <br /> added equip / any other <br /> rinse water 1 adjustments/ <br /> THE NON-HAZARDOUS PURGE- WATER WHICH HAS BEEN TOTAL GALS. loaded onto <br /> RECOVERED FROM GROUND- WATER WELLS IS RECOVERED BTS vehicle# <br /> COLLECTED BY THE CONTRACTOR, MADE UP INTO <br /> LOADS OF APPROPRIATE SIZE AND HAULED TO BTS event# time date <br /> signature <br /> REC'D AT time date <br /> The contractor per€ormmg thus work is BLAINE TECH SERVICES, 1 1 <br /> INC, 1680 Rogers Ave, San Jose, CA 95112 (phone [408] 573-0555) unloaded by <br /> signature <br />