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HOL-- LJIN FAHA 'I & IATES·': INC ~ ENVIRONMENTAL MANAGEMENT CONSULTANTS 143 South Figueroa Street · Ventura, California 93001 (805) 652-0219 · FAX (805) 652-0793 853 West 17th Street · Costa Mesa, California 92627 (714) 642-2660 · FA.,~ (714) 642-2544 3157 Pegasus Drive · Bakersfield, California 93308 (805) 391-0517 · FAX (805) 391-0826 REPORT OF REMEDIAL ACTION INLAND INDUSTRIES, LTD., PROPERTY 3012 PIERCE ROAD BAKERSFIELD, CALIFORNIA JUNE 10, 1994 Consultant: Holguin, Fahan & Associates, Inc. 3157 Pegasus Drive Bakersfield, California 93308 Project Manager: Mark R. Magargee, R.G. (805) 39143517 .- Client: Inland Industries, Ltd. 2482 Douglas Road Burnaby, British Columbia, Canada VSC 6C9 Project Manager: Mr. Lee N. Parker (604) 291-6021 Timothy A.,JMartin, R.E.A. w,~ ar R. Magargee, R.G. / d/ - Environmental Specialist Senior Hydrogeologist Holguin, Fahan & Associates, Inc. Holguin, Fahan & Associates, Inc. ENVIRONMENTAL PLANNERS ·'SCIENTISTS · GEOLOGISTS AND ENGINEERS Contaminated Site Assessments · Real Estate Audits * Site Remediation * Hazardous Waste Management HOLGUINe FAHAN & A .SOCiATF , INC. ENVIRONMENTAL MANAGEMENT CONSULTANTS TABLE OF CONTENTS Page List of Acronyms Introduction ............................................................................ 1 Site Description ................................... ~ .................................. 1 Background ........................................................................... 2 Previous Work .................................................................. 2 Site Geology .................................................................... 3 Site Hydrogeology .......................................................... 5 Remediation Methods .......................................................... 6 System Abandonment .................................................... 6 Soils Excavation and Sampling Results ........................... 7 Conclusions ........................................................................... 10 FIGURES 1 Site Location Map 2 Plot Plan 3 Excavation Boundaries ATTACHMENTS 1 Summary Tables 2 Hazardous Waste Manifest - Waste Oil and Rinsate 3 KCDEHS Water Well Abandonment Permit 4 Laboratory Analysis Reports 5 Non-Hazardous Waste Hauler Records HOLGUINe ~ FAHAN ~ & A&~DCIATF~, INC. ENVIRONMENTAL MANAGEMENT CONSULTANTS LIST OF ACRONYMS BGL below ground level BTEX benzene, toluene, ethylbenzene, and total xylenes DOT Department of Transportation EPA Environmental Protection Agency FID flame ionization detector KCDEHS Kern County Department of Environmental Health Services KCWA Kern County Water Agency MSL mean sea level TPH total petroleum hydrocarbons HOLGUIN, ..... .... . FAHAN & A, SOCIATF__ , INC. ENVIRONMENTAL MANAGEMENT r. ONSULT~NTS INTRODUCTION Holguin, Fahan & Associates, Inc., ('HFA) is pleased to present the following remedial action report for the Inland Industries, Ltd., property located at 3012 Pierce Road in the city of Bakersfield, Kern County, California (see Figure .1 - Site Location Map). The property was recently vacated by a tenant, Central California Kenworth (Kenworth). The excavation and soil sampling activities were conducted as part of the decommissioning and removal of two underground waste oil vaults and a wash water disposal system operated by Kenworth and previous occupants of the property (see Figure 2 - Plot Plan). These activities included the removal and disposal of waste oils from within ~t,~v~O,,u~n~d~e, Eg~und concrete~v~,,u, lts; the excavation and off-site recycling of waste oil-containing soils; and the removal and disposal of the wash..water~.disposal system, including a two chamber wooden oil/water separator and a 20-foot-deep, 3-foot-diameter, concrete dry well and the excavation and off-site recycling of hydrocarbon-containing soils associated with these two features. Other activities included the closure of the floor drain of the vehicle wash system by backfilling with a cement grout and the closure of an on-site water wel! b,~,~g~'~ll~g with a cement grout. All remediafion activities where required by the KCDEHS, which provided oversight of the system removal, soil excavation and sampling events, disposal of the waste materials, and water well abandonment. SITE DESCRIPTION The site is located at 3012 Pierce Road in the city of Bakersfield in Kern County, California (see Figure 1). The project site is bound on the west by Pierce Road; on the south by Don Keith Trucking Company; on the east by an Office Depot retail store; and on the north by a Home Base retail store. The property was recently operated as a large truck and bus maintenance facility. However, Kenworth ceased operations at the site during the first quarter of 1994, and has since vacated the facility. The topography of the site is relatively flat, with a slight fall to the west. The owner contact is Mr. Lee N. Parker, Chairman, Inland Industries, Ltd., 2482 Douglas Road, Burnaby, British Columbia, Canada, V5C 6C9, (604) 291-6021. The consultant contact is Mark R. Magargee, Holguin, Fahan & Associates, Inc., 3157 Pegasus Drive, Bakersfield, California. 93308, (805) 391-0517. Mr. LeeN..Parker HOLGUIN, Inland Industries Ltd. ~ FAI--b~N June 10, 1994- Page 2 & A&SCCIATES, INC. ENVIRONMENTAL MANAGEMENT CONSULTANTS BACKGROUND PREVIOUS WORK Kenworth operated a steam wash in a service bay at the property. The floor drain was formerly connected to a pipeline that led to a four-chambered septic tank along the southern property line (see Figure 2). On August 25, 1988, representatives of the EPA conducted an inspection of the property to determine whether any practices at the property presented a threat to groundwater resources. At that time, they noted that the septic tank system connected to the floor drain warranted further investigation as a potential Class V shallow disposal well. The KCDEHS subsequently received funding through the EPA to conduct a pilot program for local enforcement of Class V shallow disposal wells. On January 8, 1993, a water sample was collected by the KCDEHS from the four-chambered septic tank, and Kenworth was instructed to disconnect the piping leading from the floor drain to the septic tank and abandon the septic tank in place by filling it with a cement-sand slurry. Kenworth performed the first task by disconnecting the piping and installing a self-contained, aboveground, wash water recycling system. HFA completed the second task of septic tank abandonment on August 11, 1993. During the septic tank abandonment, the KCDEHS representative observed the presence of a possible Class V shallow disposal well approximately 20 feet east of the septic tank, an underground concrete waste oil vault, and a storm water drain in the southeastern corner of the property (see Figure 2). The KCDEHS requested, in a letter dated August 17, 1993, that a site investigation be performed to assess the potential for hydrocarbon-containing soils associated with the dry well, vault, and storm water drain. HFA performed the drilling and sampling on September 14, 1993. Borehole B-1 was drilled adjacent to the western side of the dry well to a total depth of 30 feet BGL. Borehole B-2 was drilled adjacent to the northwestern corner of the waste oil vault to a total depth of 25 feet BGL. Borehole B-3 was drilled through the storm water drain to a total depth of 22.5 feet BGL (see Figure 2). Gr~o~o..u..ndwater in borehole B-1 at a depth of 28 feet BGL; therefore, the other two boreholes were terminated above this depth. Soil samples from the borings were tested for a petroleum fingerprint consisting of TPH as gasoline, diesel, motor oil, and crude oil; BTEX; and common solvents using EPA Method 8260, as well as one sample from each borehole for the California Title 22 metals. In addition, samples of the liquids and sludge within the waste oil vault were collected on September 17, 1993, and analyzed for TPH as gasoline, diesel, motor oil, and crude oil; BTEX, and common solvents using EPA Method 8260; TPH as oil and grease using EPA Method 418.1; and the California Title 22 metals. Mr; Lee:'l~i;~,Parker I, HOL(~U! Inland Ind~rles~l;td~ F/~H~N "' June 10~ 199-4~ Page 3 ENVII~InNMENTAL MANA[-~EMENT CONSULTANTS Analysis of soil samples collected from borehole B-2 (advanced adjacent to the northwestern corner of the waste oil vault) showed hydrocarbon-containing soils at a depth of 10 feet BGL as indicated by the presence of TPH as motor oil at a concentration of 410 mg/kg. TPH, BTEX, and common solvents were not detected in boreholes B-1 and B-3. The California Title 22 metals were detected at concentrations consistent with native concentrations in the area (see Attachment 1, Table 1.1, for a summary of soil sample analysis results). Analysis of liquid and sludge samples collected from the waste oil vault showed hydrocarbon-containing liquids as indicated by TPH as oil and grease at a concentration' of 7,400 mg/I. TPH as gasoline and diesel, BTEX, and common solvents were not detected, with the exception of toluene at a concentration of 0.008 mg/I, 1,2,4-trimethylbenzene at a concentration of 0.0016 mg/I, and naphthalene at a concentration of 0.001 mg/I. ,.,L~e~q~ was detected at concentrations of 189 mg/kg for total lead~i~the sludge, and 2.2 mg/I for soluble lead. Therefore, the liquid contents of the waste oil vault required disposal at one of several approved recycling facilities (see Attachment 1, Table 1.2, for a summary of sludge sample analysis results). The KCDEHS reviewed HFA's October 11, 1993, site assessment report and requested in a letter dated October 26, 1993, that the waste oil vault and dry well be abandoned, and that the associated hydrocarbon-containing soils be excavated. SITE GEOLOGY ...... The site is located in a relatively flat area at an elevation of ~pprox. jimately 500 feet above MSL. The site is located in the southern part of the Great Valley Geomorphic Province. The Great Valley is a north-south trending valley approximately 400 miles long by 50 miles wide, the southern portion of which is known as the San Joaquin Valley. The surface of the San Joaquin Valley is composed primarily of unconsolidated Pleistocene-age (1.6 million to 11,000 years ago) and Recent-age (11,000 years ago to the present) alluvial sediments. Beneath the alluvial sediments are older, predominantly lake bed deposits. These lie unconformably on Mio-Pliocene marine sediments, which extend to crystalline basement at a depth of approximately 30,000 feet BGL. Geologic deposits in the study area include Pleistocene-age, alluvial sediments of the Kern River Formation, which form a homocline dipping gently to the southwest. The deposits are alluvium consisting of poorly indurated and dissected fan deposits (California Division of Mines and Geology, 1964). This is an area at the foot of rolling hilts with a maximum elevation of 900 feet MSL, located on the eastern flank of the San Joaquin Valley and west of the southern Sierra Nevada. The Kern River drains a large area of the southern Sierra Nevada., including the highest part of the range at Mount Whitney. The modern river has cut a channel southeast of the site and provides Mr. LeeN. Parker OLGUI Inland Industries Ltd. N,'"' FAHAN June 10, 1994 - Page 4 i & 2 SSCXZI T , INC. ENVIRONMENTAL MANAGEMENT CONSULTANTS recharge for groundwater along its course. Sedimentary geologic formations, observed at the surface and underlying the site, were sourced by the Sierra Nevada and transported via the ancestral Kern River. In the region of the site, the Tertiary sedimentary sequence, from top to bottom, is non-marine Kern River Formation, non-marine Chanac Formation, marine Santa Margarita Formation (possibly interfingering with Chanac Formation due to the tentative correlation of a type Santa Margarita Formation section west of the San Andreas Fault), marine Round Mountain Silt, marine Olcese Sand, marine Freeman Silt, marine Jewett Sand and Pyramid Hill member, marine Vedder Sand, non-marine Walker Formation. Of these, only the Kern River Formation, Chanac, and Santa Margarita are important to the hydrogeology of the site. The Tertiary non-marine Kern River Formation is unconformably overlain by bouldery terrace deposits of Quaternary Older Alluvium. Two naturally occurring geologic units are present in the near surface at the site. The two natural units are the Tertiary, (Miocene to Pliocene) non-marine Kern River Formation, and Quaternary (Pleistocene) Older Alluvium. The Older Alluvium forms a thin terrace deposit lying unconformably on the Kern River Formation. Quaternary Older Alluvium: is middle to lower Pleistocene age (Qoa2 of Bartow, 1984). The Older Alluvium is a flat lying terrace deposit approximately 5 feet thick, which overlies the erosional surface of the Kern River Formation. The Older Alluvium is comprised of very coarse material, with boulders to 50 cm in diameter. Clastic material composition includes granitic and dioritic crystalline rocks characteristic of the Sierra Nevada batholiths, quartzite characteristic of pre-batholithic rocks, and volcanic and related rocks such as andesite and dark siliceous agate typical of Neogene deposits of the Mojave desert. In some locations caliche rims have developed between clasts. Kern River Formation; The age of the Kern River Formation includes upper Miocene and Pliocene, and possibly Pleistocene. The Kern River Formation is comprised of interstratified fanglomeratic deposits and silty claystones. Within the fanglomerates are conglomerate beds with cobbles to 20 cm in diameter. In some areas fanglomerate beds exhibit cross bedding 2.5 to 5 meters thick. The silty claystone beds, which would serve as Iow permeability barriers to vertical migration, are laterally continuous as much as several thousand feet, but are locally truncated by sandy fanglomerate units. Another important factor in considering the potential for migration is the lack of secondary permeability within the Kern River Formation as no secondary cracks, small faults, or gypsum veins are observed. Ne Mr: Lee~NFParker F/~-~N . June 10, 1094~ page 5 ' & ASSOCIATES, INC. ENVIRONMENTAL MANAGEMENT CONSULTANTS Chanac Formatioq; The Chanac Formation of upper Miocene age, is not exposed on or near the site, but outcrops in the cliffs east of the site along the Kern River bluffs at Hart Park. It is a thinly bedded chalky siitstone exhibiting many secondary cracks and gypsum veins. Soil borings advanced by the consultant at the site and on an adjoining property indicate that the alluvium is characterized by unconsolidated, moderate to good permeability, silty sand to a depth of approximately 7 feet BGL overlying unconsolidated, highly permeable, fine-grained to coarse-grained sand to a depth of approximately 23 feet BGL. Underlying this is a zone of unconsolidated, highly permeable, fine-grained to coarse-grained sand and gravel to a depth of approximately 38 feet BGL. This is underlain by unconsolidated, highly, permeable, fine-grained to coarse-grained silty sand to a depth of 46 feet BGL. Underlying this is a zone of consolidated, Iow permeability, clayey silt to a depth of 48.5 feet BGL, which was the greatest depth drilled during that investigation. SITE HYDROGEOLOGY Surface and groundwater in the San Joaquin Valley is derived predominantly from the Sierra Nevada mountain range to the east, and is transported by five major rivers, the southernmost being the Kern River. The subject site is located approximately 1/2 mile north of the Kern River. The depth to the regional unconfined aquifer has been measured at approximately 50 feet BGL beneath the site with the direction of groundwater flaw to the west-northwest (KCWA, 1992 Report on Water Conditions, Improvement District #4, February 1993). However, due to the significant amount of precipitation during the winter of 1993, and the ongoing use of excess surface waters by the KCWA in nearby groundwater recharge basins, groundwater was observed by HFA at a depth of 28 feet BGL during the September 1993 soils investigation, and at a depth of 27 feet BGL during the March 1994 soils excavation. ,~1 Mr. Lee N. Parker HOLGUI Inland Industries Ltd. FAHAN June 10, 1994 - Page 6 & TES, INC. ENVII~ONMENTAL MANAGEMENT (~ONSULTANTS REMEDIATION METHODS The intent of this phase of remedial action was to abandon and remove the waste oil vault and dry well, excavate associated hydrocarbon-containing soils, and dispose of the excavated soils at a licensed recycling facility. During the course of the cleaning of the underground concrete waste oil vault, a second vault, which was entirely buried, was discovered to the east of the first vault. The two vaults were connected by an adjoining pipe. Both vaults were cleaned, removed, and disposed of. A significant amount of used oil filters and rags were discovered within the waste oil vaults. These were segregated, containeri7ed, and disposed of at an appropriate recycling facility. During the removal of the dry well, no piping was discovered connecting the dry well to the previously abandoned four-chambered septic tank. Instead, a pipe was discovered leading to the east, away from the septic tank. The KCDEHS requested that the pipe be exposed and removed. The course of the pipe was discovered to proceed east to the property line, north behind the two waste oil vaults, then northwest to the eastern end of the service bay building. However, this end was discovered to be the effluent from a previously in-place abandoned two-chamber, wooden oil/water separator. An inlet pipe was observed exiting from the western side of the wooden oil/water separator toward the floor drain of the steam wash. This newly identified system appears to have been a predecessor of the four-chambered septic tank system. Abandonment of the system was completed by removing the wooden oil/water separator and backfilling the steam wash floor Thin with a cement grout. KCDEHS representative also observed a metal plate, flush with the concrete floor, welded to the top of an 8-inch diameter pipe within the westernmost service bay. HFA removed the plate and discovered a 100-foot deep water well under the concrete foundation of the service bay. The well was sampled to determine that no hazardous materials were present in the groundwater, and subsequently abandoned under permit with the KCDEHS by backfilling with a cement grout. SYSTEM ABANDONMENT The waste oil vaults were abandoned by performing the following tasks: 1. The surface lid at the western vault was exposed and removed; 2. A vacuum truck removed any remaining liquid within the vaults; 3. Used oil filters and rags were removed from the vault and placed in 55-gallon DOT drums for transport to a licensed used oil filter recycling facility; 4. The vaults were Mr. LeeN.~'arker- HOLGUIN,- inland !lnd.ustri_es~!~td: ~ FAHAN June, 10, 199~l:'~"page:7 ~ & ASSOCIATES, INC~ E NVII~IE3NME NT.,~L M,~NAI~EMENT pressure washed to remove any residual substances from the walls of the vaults; 5. The vacuum truck removed the rinsate from the vaults; and 6. The vacuum truck transported approximately 1,000 gallons of liquid under a hazardous waste manifest to Gibson Environmental's Bakersfield facility, where the liquid will be disposed of as a California Waste, Code 223 (see Attachment 2 for the Uniform Hazardous Waste Manifest). The wash water disposal system was abandoned by performing the following tasks: 1. The vaults, dry well, concrete drain pipe, ana overlying asphalt cover were removed and dump truck loads of concrete and asphalt debris were transported to Granite Construction's Bakersfield construction debris recycling facility; 2. The wooden oil/water separator was removed and dump truck loads of mixed wood, sludge, and soil debris were transported to the Kern County Waste Management Department's Bena Solid Waste Disposal Facility; and 3. The steam wash floor drain grate was removed and the floor drain and drain pipe were backfilled with a cement grout. The on-site water well was abandoned under permit width the KCDEHS by pressure grouting a five-sack, cement slurry through a tremie pipe (see Attachment 3 for the well abandonment permit, and Attachment 4 for the laboratory analysis report and chain of custody document for the groundwater sample collected from the water well prior to abandonment). SOILS EXCAVATION AND SAMPLING RESULTS Prior to any intrusive methods being conducted at the site, Underground Service Alert of Central California was utilized to map out the underground structures. Based on the clearances obtained, the excavations were confined to safe locations. Ken Small Construction, Inc., provided an excavator to remove the hydrocarbon-containing soil (see Figure 3 - Excavation Boundaries). Excavation beneath the location of the waste oil vaults proceeded on February 16, 1994, to a depth of 19 feet BGL and 10 feet laterally from the two former waste oil vaults. 'The excavated soil was transported by KVS Transportation, Inc., (KVS) under non-hazardous waste hauler record to Clean Soils, Inc.'s (Clean Soils') Bakersfield, California, recycling facility where the petroleum hydrocarbons are thermally desorbed prior to reuse as road base (see Attachment 5 for copies of the non-hazardous waste hauler records and weightmaster certificates). During excavation, soil samples were collected fiom the base and sidewalls of the excavation pit and screened for total organic vapors with an FID. Headspace vapor analysis was performed by filling a mason jar to 50-percent capacity to produce a head space allowing volatilization for a period of 15 minutes and protruding the probe of the FID.through the cap and into the headspace for analysis. The FID readings were recorded on the daily log. U~. Mr. Lee N. Parker HOLG I Inland Industries Ltd, ~ FAHAN Jur~ 10, 1994 - Page 8 & AS CIATES, INC. ENVII~II~]NMENT/~.L M~,~,~I~EM~NT [~]NSULT~NT~ Upon establishing sidewalls and a base where field screening no longer indicated the presence of hydrocarbon-containing soils, six soil samples were collected from the base and sidewalls of the excavation pit (see Figure 3). Samples were collected from each sidewall and from the excavation base in such a way that each sample represented no more than 200 square feet of the surface area of the excavation. The soil samples were collected in brass sleeves in such a way that no headspace remained, immediately sealed with TeflonTM-lined caps, labeled, and placed in an ice chest at less than 4 degrees Celsius for transport to Mobile Labs, Inc., in Bakersfield, California, for analysis. In addition, a sample of the sludge material within the drain pipe to the dry well was also collected and submitted for analysis. The samples were analyzed for TPH as oil and grease using EPA Method 418.1. TPH as oil and grease was not detected in the soil samples collected from the western and southern sidewalls; however, TPH as oil and grease was detected at a concentration of 20 mg/kg in the samples from the northern and eastern sidewalls, at a concentration of 50 mg/kg in the sample from the eastern half of the excavation base, at a concentration of 370 mg/kg in the sample from the western half of the excavation base, and at a concentration of 2,300 mg/kg in the sludge material sample from inside the drain pipe (see Attachment 1, Table 1.3,.for a summary of the soil excavation laboratory results, and Attachment 4 for laboratory analysis reports and chain of custody documents). ~ The KCDEHS subsequently required additional soil removal in the western half of the excavation ~ to a depth of 22 feet BGL, and upon inspection of the excavation, approved backfilling to ,, surface grade on February 21 1994. The excavated soil was transported by KVS under?<~ <,~ non-hazardous waste haulers record to Clean Soils' recycling facility (see Attachment 5). The KCDEHS required complete removal of the dry well, drain pipe to the dry well, and associated hydrocarbon-containing soils. The KCDEHS also required removal of a wooden oil/water separator, discovered in the course of the removal of the drain pipe. The excavated soil was transported by KVS under non-hazardous waste haulers record to Clean Soils' recycling facility (see Attachment 5). On March 15, 1994, a soil sample was collected from beneath the center of the former dry well at a depth of 22 feet BGL. The sample was analyzed at BC Laboratories, Inc., for TPH as oil and grease, which was detected at a concentration of 1,100 mg/kg.(see Attachment 1, Table 1.3, and Attachment 4). The KCDEHS required additional soil removal beneath the location of the dry well, and the excavation was deepened to a depth of 25 feet BGL, and expanded laterally 10 feet from the former dry well. The excavated soil was again transported by KVS to Clean Soils' recycling facility (see AHachment 5). Five soil samples were collected from the excavation base and Mt; HOLGUIN, · FAHAN June'lO, i9947~::9' & INC. ENVIRONMENTAL MANAGEMENT CONSULTANTS four sidewalls on March 21, 1994. TPH as oil and grease was not detected in the middle of the base: however, TPH as oil and grease, w~etected at a concentration of 21 mg/kg in th_e~,, eastern s~dewall, at a concentrahon of}5~20__mg/kg in the~soodhern____ si~at_~ a concefiTrafion of 110 mg/kg in the western sidewall, ancT'-~t a concentration of 92 ~ ~n the northern sidewall (see Attachment 1, Table t.3, and Attachment 4). The KCDEHS again required additional soil removal beneath the dry well, and the excavation was deepened to a depth of 27 feet BGL and expanded laterally by an additional 5 feet fo the nodh, east, and west, and 10 feet to the south. Groundwater wqs p~served in thc. hn~c. nf ex~.~.,a,,v.~E~,.,n~.?_t._9~,.~p~h~,2,f~_~2,,7~f~?~t_,.B.G.L,, which is consistent with the depth of groundwater observed in HFA's September 1993 soils investigation. At this time, soil was also removed from beneath the location of the former wooden oil/water separator to a depth of 15 feet BGL. The excavated soil was again transported by KVS to Clean Soils (see Attachment 5). Soil samples were collected from the base of the expanded dry well and oil/water separator excavations on March 23, 1994. TPH as oil and grease was detected a concentration of 21 rog/kg beneath the dry well, at a concentration of 25 mg/kg beneath the southern half of the oil/water separator excavation, but was not detected beneath the northern half of the oil/water separator excavation (see Attachment 1, Table 1.3, and Attachment 4). Upon approval by the KCDEHS, the excavation pits were backfilled with "clean" import soil. The soil was'compacted to 90-percent relative compaction in 12-inch lifts and returned to surface grade. Ne " Mr; Lee~N.-Parker: HOLGUI 'lnland'lnduStfles~ Ltd:.:' ~ FAI-~N Juno 10.1994-po0e.10 ~ . ~ &~~. INC. ENVIRONMENTAL MANAGEMENT CONSULTANTS CONCLUSIONS 1. Decommissioning of the wash water disposal system included backfilling the floor drain and the newer four-chamber septic tank with a cement grout, removing the older wooden oil/water separator, drain pipe, and dry well, and removing two waste oil vaults. Abandonment of the on-site water well included backfilling with a cement grout. 2. Approximately 1,300 cubic yards of hydrocarbon-containing soils were excavated from beneath the location of the two waste oil vaults to a depth of 22 feet BGL, beneath the dry well to a depth of 27 feet BGL, and beneath the oil/water separator to a depth of 15 feet BGL, and disposed of off-site at a road materials recycling facility. Groundwater was observed in the base of the dry well excavation at a depth of 27 feet BGL. The excavation pits were subsequently backfilled with import material to surface grade. MRM:vab:kad ~ &~T~, INC. . .~, ? '~: ~:,,. .. ~: .... :,,' ~. '~;-.- ~, ~ O~.- ' ' .,' Th, ~',? ~ . ~ .- .~-:: ~ · .. ': [~ ~o o ~.~ .... ....'., ~ · .~ _,~,~, -~ .... ...... -~- I.' ' - %' I ' · .... : -- ......... ; :::" o :.. ~ I ~ © "'"' ~::~:': :' ,~: -~ TE LOCATION ". : "2~ ;~ , Mile ,'./ ~ ~':. .~--,;..:..~ ;:~ ', LEGEND INLAND INDUSTRIES, LTD. 0 0.5 ~' :'~ ~ ~ w--~x-:~:~_=-_:~¥~¥~:] u~t[ 3012 PIERCE ROAD o ~.~ 2.~ 3,~ ~,~ ~.~ ~'~ ~ BAKERSFIELD, CALIFORNIA 0 05 1 KII.OM[:T[ [4 / ~ '"J"'::[-- ]:::]-:-:l'~t"-'l' "! - I 'l ~ F~N " ENVIRONMENTAL MANAGEMENT CONSULTANTS HOME BASE N PIERCE ROAD -[ CHAIN-LINK FENCE I GATE~ WATER WELL (ABANDONED) PAVEMENT / I SERVICE BAYS WOODEN OIL/WATER SEPERATOR -- (REMOVED) RECIEVING ~.1 J~ AND PARTS .... ~ STEAM-WASH CANOPY ... ~ __ _ DRAIN / STORM WATER OFFICE[ WASI-{WATER '.. (ABANDONED) "- RECYCLING SYSTEM ~ /' DRAIN '"-. (BENEATH BORING} (REMOVED) ~ '~ / / ,.,.,.,. ~ ,~ .......... (REMOVED) -- '... -- · I PARTS DEPT, ~ -. . STEAM-WASH SEPTIC a-2 __~ (ABANDONED) ~-. ~. B-1 ', ~ ~ i k WASTE OIL VAULTS ~I ' (REMOV7' CONCRETE DRY WELL (REMOVED) FACE OF CURBING DON KIETH TRUCKING LEGEND INLAND INDUSTRIES, INC. SOIL BORING 3012 PIERCE ROAD BAKERSFIELD. CALIFORNIA FIGURE 2 - PLOT PLAN SCALE IN FEET o 2~ 5o HOLGUIN, ]~AHAN & ASSOCIATes. INC. REVISON DATE: JUNE 10, 1994: VAB HOME BASE ~ PIERCE ROAD [ CHAIN-LINK FENCE WATER WELL (ABANDONED) PAVEMENT O ; SERVICE BAYS , WOODEN OILANATER SEPERATOR : ~ (REMOVED) AND PART.( I ' STEAM-WASH I CANOPY ........ -- DRAIN / OFFICE I WASH~ lATER i " .................. , DRAIN RECYCLING SYSTEM ~. (ABANDONED) ].<. STORM WATER -- 0 ~ i' DRAIN PIPE _-~.~ .' .......... LIMITS OF (REMOVED) PARTS DEPT. ~ x.~ EXCAVATION '~ STEAM-WASH SEP .64 .' I '~ TANK (ABANDONED) ,~ ~"~.,"' ~.' ' :.~' ) I STEAM*WASH DRAIN PIPE ~_x / .......................... .. [' '., i · ~ ...... ~--~:-- ~---,~. ,~ : ! '.., ~..,. ,, , ,--1 I ~ CONCRETE DRY ?CELL (REMOVED) FACE OF CURBING DON KIETH TRUCKING LEGEND INLAND INDUSTRIES, INC. ~ SOIL BORING 3012 PIERCE ROAD BAKERSFIELD. CALIFORNIA FIGURE 3 - EXCAVATION BOUNDARIES SCALE IN FEET o ~ 5o HOLGUIN, FAHAN & ASSOCIATES, INC. REVISON DATE: JUNE 10. 1~94; VAB · & ~~;.INC. .. ENVIRONMENTAL MANAGEMENT CONSULTANTs AI'rACHMENT 1. SUMMARY TABLES TABLE 1.1 > SUMMARY OF SOIL SAMPLE ANALYSIS RESULTS r- INLAND INDUSTRIES, LTD., PROPERTY, BAKERSFIELD, CALIFORNIA · , TPH AS SAMPLE DATE SAMPLE TPH AS TPH AS MOTOR ETHYL- TOTAL COMMON SOURCE SAMPLED DEPTH ID# GASOLINI: DIESEL OIL BENZENE TOLUENE BENZENE XYLENES SOLVENTS RE~ EPA ANALYTICAL(feet METHOD BGL) (mg/kg) (mg/kg) (mg/kg) (mg/kg) (mg/kg)8260 (mg/kg) (mg/kg) (mg/kg) N/~ METHOD REPORTING LIMIT 1 101 10 0.005 0.005 0.005 0.005 0,005f N/~, B-1 9-14-93 15 B-1-15 ND ND ND ND ND ND ND ND 9-14-93 25 B-1-25 ND ND ND ND ND ND ND ND A B-2 9-14-93 10 B-2-10 ND ND 410 ND ND ND 0.9 ND A 9-14-93 20 B-2-20 ND ND ND ND ND ND ND ND A 9-14-93 25 B-2-25 ND ND ND ND ND ND ND NDI A B-3 9-14-93 15 B-3-15 ND ND ND ND ND ND ND ND A 9-14-93 22.5 B-3-22.5 ND NDI ND ND ND ND ND ND A BGL = Below ground level. REF = Report reference. N/A = Not applicable. ND = Not detected. All samples also tested for California Title 22 metals. Results were consistent with native concentrations in area. A = Holguin, Fahan & Associates, Inc.'s, report dated October 11, 1993. · ~-i~:~: ~,, FAHAN · & ? SOCIAT , INC. ENVIF:IONMENTAL MANAGEMENT CONSULTANTS TABLE 1.:2 SUMMARY OF SLUDGE SAMPLE ANALYSES INLAND INDUSTI~IES, LTl>., PI~PEI~, 8AKEI~SFIELD, CALIFORNIA DATE TPH AS TPH AS TPH AS OIL ETHYL- TOTAL COMMON LOCATION SAMPLED GASOLINE DIESEL & GREASE BENZENE TOLUENE BENZENE XYLENES SOLVENTS REF (mg/I) (feet) (rog/I) (rog/I) (mg/I) (mg/I) (nxj/I) (mg/I) EPA ANALYTICAL METHOD 8260 ~ 418.1 8260 N/A MINIMUM DETECTION LIMIT 0.1 0.1 1 0.001 0.001 0.001 0.001 0.001 N/A t 9-17-93 ND ND 7,400 ND 0.008 ND ND ND A VAULT LIQUID REF = Report reference. N/A = Not applicable. ND = Not detected. A = Holguin, Fahan & Associates, Inc.'s, report dated October 11, 1993. HOLGUI . FAHAN & A. qOCIATE , INC. ENVII:::IONMENTAL MANAGEMENT CONSULTANTS TABLE 1.3 SUMMARY OF SOIL SAMPLE ANALYSIS RESULTS INLAND INDUSTRIES, LTD., PROPERTY, BAKERSFIELD, CALIFORNIA SAMPLE SAMPLE TPH AS NUMBER DATE LOCATION DEPTH OIL AND GREASE (feet BGL) (m~/kcj) MRL N/A N/A N/A W.B. 2-16-94 West Base - Waste Oil Vault Excavation 19~ E.B. 2-16-94 East Base - Waste Oil Vault Excavation 19 50 N.W. 2-16-94 North Sidewall - Waste Oil Vault Excavation 19 20 E.W. 2-16-94 East Sidewall - Waste Oil Vault Excavation 19 20 W.W. 2-16-94 West Sidewall- Waste Oil Vault Excavation 19 N D S.W. 2-16-94 South Sidewall - Waste Oil Vault Excavation 19 N D P-1 2-16-94 Sludge Sample - Drain Pipe N/A 2,300 S-1 @ 22 3-15-94 Base - Dry Well Excavation 22 , 1,100 West 3-21-94 West Sidewall - Dry Well Excavation 20 Middle 3-21-94 Base - Dry Well Excavation 25 N D East 3-21-94 East Sidewall- Dry Well Excavation 20 South 3-21-94 South Sidewall - Dry Welt Excavation 20 ~'~20 North 3-21-94 North Sidewall - Dry Well Excavation 20 NP-WE-3 3-23-94 Base - Dry Well Excavation 27 ,~ 2¥ NP-NE-1 3-23-94 North Half Base - Oil/Water Separator Excavation 15 "ND NP-SE-2 3-23-94 South Half Base - Oil/Water Separator Excavation 15 25 TRIP BLANK 2-16-94 N/A N/A N D BGL = Below ground level. MRL = Minimum reporting level. N/A = Not Applicable. N D = Not deteded. HOLGUI ,N~ ~ ~ FAHAN " ~ &ASSOCIATES, INC. ENVIRONMENTAL MANAGEMENT CONSULTANTS ATrACHMENT 2. UNIFORM HAZARDOUS WASTE,, MANIFEST State of Californi~---Env/ronmeotal Protection. Agency Form Approved OMB No. 2050-0039 (Expires 9-30n4m See Instructions on page 6. Department of Toxic Substances Cont. Please print or type. Form designed for use on eli~ (l~l~[ch) typewriter, Sacrome,nto, California UNIFORM HAZARDOUS ~. Generator's US EPA ID No. Manifest Document No. 2. Page ! Informatioo in the shaded areas WASTE MANIFEST is not required by Federal law. 3. Generator's Name and Maifing Address ..T..tl(At,~/~ .~i tJL~.~? 5. Transporter 1 Company Name 6. US ~PA ID Number ~ 7. Tronspo~er 2 Company Name 8 US ~PA ID Humber ~ -- ~ ~ ~. US DOT Description (including Proper Shipping Name, Hozard Class, ~nd ID Number) 12. Containers 13. No. ~uanti~ b. 1 1~:. Special Handling Instructions and Additional Information ~ ~ 16. GENERATOR'S CERTIFICATION: ~ hereby declare that ~e conten~ of ~e consignm~t ~re fully and accurately described above by proper shipping name and are c ass f ed, ~ j packed, ~arked, and labeled, and are in al~ respects in prope~ condition for transpo~ by highway accordMg to applicable federol, state and international laws. ~1 I ~ ~f ~ am a brge quanti~ generator I certify ~at I have a program in place to reduce ~e volume and t~xici~ of waste ~enerated to the de ree J have determined to be ~ ~ ~ ~ economically pratt,cable and that [ have seJected the pratt cab e ~e~o8 of treatment storage or d~s~osal cur're~nv o~a~la~le to me ~h,ch m,n~m,zes ~e r ~ I t' ' , , - _ p e~nt and future ~ j nreat to human heaJth and ~e environment; ~R ff ~ am a small quan~ generator I have made a good fai~ effort to minimize ~y waste generation and select the best ~ [ waste management me~od ~at is available to me and that I can afford. ~ I ~Pr~nted/Type~e ~ /~ :'< ~ .~ .... :~ .~ignature ~' ~ ......... Month Day ~ear Z ~ ~ ~ ~. ~.s~o.e~ ~ ~.o~e~m~t o~ ~ece~pt o~ ~ate~s ~ / ~ J Printed/Typed ~ame ~ ~natu~e ~onth Da Yea~ ~ ~ o ~ 18. Transpo~er 2 Acknowledgement of Receipt of ~ater as :] ~ J Printed/Typed Name ' ' }$igno~re ~onth Day Year T Printed/Typed Name Signature ~onth Day Year { Y . DO NOT WRITE BELOW THIS LINE. HOLGUI ,N~ ~ FAHAN ~ & ~TF~, INC. ENVIF::IONMENTAL MANAGEMENT CONSULTANTS A1'rACH MENT 3. KCDEHS WATER WELL ABANDONMENT PERMIT Ker.. ~ou;'lr.,f " O APPLICATiON FOR A PERMIT TO CONSTRUCT. Em',ronmemal Healtt~ Services Department RECCNSTRUCT. DEEPEN OR DESTROY A WELL 2700. "M' Street. Suite 300 Bakersfield. CA 93301 (805, 86,.3636 PERMIT UMSE .: EL-/. CT: · .... ' .... ~ · -~ HOME PHONE NO ~4~ -- -~ ~ . ~ =~O~SED COMe.ION OATE SUBCONT~CTOR ~ UCENSE NO. ~DRESS TYPE OF WORK DONE: NEW WELL [] OEEPEN ~ :CHECK ONE} RECONSTRUCTION /-J' DESTRUCTION ~ ~NTENDED USE: :OMESTIC/PRIVATE J~,. (1Conne,~ont CONSTRUCTION METHOD: RE'V~RSE ROTARy DOMESTIC/NONPuBliC [] '~2-4 Conne~on$t ROTAJ{Y ~OMESTIC/'PUELIC r-] (5 or momconnec,ons! AGRICULTURAL [] AIR ROTAry CABLE TOOL MONITORING [-] OTHER OEP'CH TO WATER: $ F.A/~INQ MATERIAL. .CHECK ONE) GRAVEL PACK: ,CHECK ONE} PROPOSED CA, lNG: ~';E.AT CEMENT ~ YES ~ NO ~ ~ROM ~ -~ DE~ =UOOLED C~Y ~ CONDUCTOR DE~H ~GE/WALL OTHER .,, PROPOSED WE~ C~NSTRUC~ON ~ P~O~OSED PERFORATIONS OR SCREEN: 'O EPTHt: WE~ CONSTRUC~ON OR DESTRU~ON PROPOSED S~/PLUG(S): GENERAL CONDITIONS mcnta~ H~lth ~ Oc~nmcnt. ' ' - Wctl site aDD~i ~ ~out~o Oeto~ ocmnnmg any ~rr ~tatca to well ~[~ion. ti ~ umaMut to ~flunue ~rt ~t t~c staee at ~lcn an In a~ W~e~ 3 ~II ~net~t~ mo~ man onc aau,cr, aha one or mo~ ot [nc aQuztc~ may ~ntaln ~;et wmcn Is ota a~lllv which may aemac mcc other aa.u,c~ s J ~net~z~ ff ail~ (o ~mln~c. an ~-~g snail 0c maccmem ot any mou~a annular ~, s k ' ' Oi · .%DD~I o[ ~ter 0~,~ an~ final ~nsr~on f~tu~ a~ ~u~o ~c(o~ ; ~nv mts~D~Sc~ta[iO~ Or non,mD.anco ~tfl maut~a Pc~[ ~QItIO~. . - .~ cody Ot [nc bc=anmcnt ot ~'a[cr ~c~uKcs Dniicr's ~c~ aha ~[cr ~ual&~ anaj~ must Dc suoml//c~ ~o [~c ~n~mnmcntal HcaltR ~ccs ' ' ~c ~t ~s ~a off lac mflct~ct~ (~/ca~cfl~ar oav a~tcr ~atc of ~ncc ,' wor~ n~ not occn stanca aha ~a~ole p~ t~m ~mDie~jofl maGe. ~ccs arc not ~Iunoaolc nor t~Ic~olc. . J 4. ~nc usc or soloc~ con[ammg mom ;nan 2/10 o[[ % icaG zs ommonc= m ma~ng Jo;n~ an~ fir;in~ m any p~te ot ouo.c ~[aole ~;er~em. Pc~n[cc snail ~umc c~;l~ ~s~RSlOlJlly for all ac~ll~ ano u~ unoer ;ms Pc~, an= shall InGcmnl~v. ~cfc~o anG ~ t~c ~unw of Kern anolot ~cm ~unw Water ~gcn~. Its ot~cg~, a~enu, aha emel~ fmc aha ~a~l~ I~m any ann all e~ ~t or haOiliw m conn~lon MIR Ot rcsumnF ~rom mc c~c~c o[ m~s Fc~zt. mcJuamE. Dui no~ .m~tc~ to. I ccn,v mai j am [nc ~er or thc a~m~noco om~. or mc au[no~ea m~enta[zve o( such ~er. ano ~t I fum~hca all of Ibc a~ infO,alton Chuotcr i4.~ aha Bulletin 7~1 aha thc cofloltlofls o~ IAiS ~c~It ~ODtJCatlofl Jncluo~n~ any COhO,ions wmcfl may DC aaaca or cnangce ov mc ~mnmental ~ [cal[R ~ccs Uc~nmcm u~n ~ o~ mm ~DDUCa[IO~ a~ ~uance ol thc rc~l~, j funncr unac~an~ IRa[ any ~ I ~ Ou~nl ~O l~[S aOOllCa- ::on is SUOlCC~ to such ~unncr ~namons ~ may nc acemcna ncc~ ~o msum O~et s 5~natu~ Date Rcn~nrat~ Oa~c KERN COUNTY WATER AGENCY ENVIRONMENTAL HEALTH SERVICes DEPARTMENT ~o~Je Ir~SD~C~or O~e ;~ ~alfl ~of~ ~ufr~: ve~ ~ ~;o E*L~ ~'~ ~f~: Yes Gra~ Crime ~: Yes O~O~ 8v .,, ~ ~ale., TOD Ce~ for ~n(~ or ;,hal -o~aJ [it'ne ~em coun~ Well Permit Appiicati~ Enviroflm~ntal Health Sennces Department 2700 'M' Street, Suite 300 Bakersfield, CA 03301 Pan:m No. -- (806) 861-3636 LOCATION A. In~lJca~e Oelow me exa= Iota=on of well with rest, cc= to me following =ems: ~3ro~env lines, wmer Ooclies or w"d~er courses, drainage 10armrn. roses, axmang wells, smucxures, sewers an= DnVaze (3isDosa~ sy~eme. Inc~ucle aimenslon$. LOCATION OF WELL WITHIN SECT]ON UNES. L~e wed by : ?/e4asur'ngfr°moro=°seawetlsi~et°two(2) secaon'ines or D ! C B A secaon lines if a roacl(s) boraers me lancl. The measuremer~s) sJ3oulcl aJ$o De maae from me center of the roaG. · ................ + .............. E F G.H Sec. M L"O'K J N P Q R HOLGUIN~, ~ FAHAN ~ & A/~OC1AT~, INC. ENVII~ONMENTAL MANAGEMENT CONSULTANTS ATTACHMENT 4. LABORATORY ANALYSIS REPORTS LA~OF~.TOF~IES HOLGUIN, FAHAN &ASSOC. Date Reported: 03/23/94 Page 1 3157 PEGASUS Date Received: 03/17/94 B/LKERSFIELD, CA 93308 Laboratory No.: 94-02828-1 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: KENWORTH PROPERTY ~A_.T,~R___..WE__LL~ 03-17-94® 1305 HRS SAMPLED BY DAVID RITTENHOUSE/MIKE GPJ~q3kM OF BC LABORATORIES, INC. TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) Regulatory Criteria Me thod STLC TTLC Constituents Sample Results Units P.Q.L. Method mq/L mq/kq Antimony None Detected mg/L 0. 100 SW- 6010 15. 500. Arsenic None Detected mg/L 0.002 SW-7060 5.0 500. Barium 0.12 mg/L 0. 010 SW-6010 100 10000. Beryllium None Detected mg/L 0.010 SW-6010 0 75 75. Cadmium None Detected mg/L. 0.005 SW-6010 1 0 100. Chromium 0. 044 mg/L 0. 010 SW- 6010 560 2500. Cobalt None Detected mg/L 0. 010 SW-6010 80 8000. Copper 0.014 mg/L 0.010 SW- 6010 25 2500. Lead None Detected mg/L 0.050 SW- 6010 5.0 1000. Mercury None Detected mg/L 0.0002 SW-7471 0.2 20. Molybdenum None Detected mg/L 0. 010 SW- 6010 350. 3500. Nickel None Detected mg/L 0.050 SW-6010 ,.~-::,,.~ 20 2000. Selenium None Detected mg/n 0. 002 SW-7740 ~"'iiii~!i~!i,i',i~i:ill i 0 100. Silver None Detected mg/L 0.010 SW-6010 "%'i~'5.0 500 Thallium None Detected mg/L 0.100 SW- 6010 :7.0 700. Vanadium None Detected mg/L 0. 010 SW- 6010 24. 2400. Zinc 0.10 mg/L 0. 050 SW-6010 250. 5000. Comment: Ail above constituents are reported on an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected toappropriate techniques to determine total levels. P.Q.L. = Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed). STLC = Soluble Threshold Limit Concentration TTLC = Total Threshold Limit Concentration REFERENCES: SW = "Test Methods for Evaluating Solid Wastes Physical/Chemical Methods", EPA-SW-846, September, 1986. Department Superv~or A!! results I;sted in lhis repor'[ are for the exclu sire use of the submi.ing par~y B~ Laboratories, Inc. assumes no respons bi ity for repod alteration, separation, detachment or ~ird party interpreta[ion ,:] ! OC_-)/:;Ja~:; [:.'l_ - F~;:~i.:,-r-.,-/., ,l~-J. ('2.,s, 93::3)0~_~ - IE]C3~) .?j;-? 7-,491 I - cz'C< IE]05) :.32'7- 1918 LABOP, ATO RIE S Volatile Organic Analysis HOLGUIN, FA/43%N & ASSOC. Date of 3157 PEGASUS Report: 03/18/94 BAKERSFIELD, CA 93308 Lab ~: 94-02828-1 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: KENWORTH PROPERTY W~E_E~, 03-17-94@ 1305 HRS .SD/~PLED BY DAVID RITTEN-HOUSE/MIKE GPJ~43~M OF BC LABORATORIES, INC. Test Method: EPA Method 8260 Sample Matrix: Water Date Sample Date Sample Date Analysis Collected: Received ® Lab: Completed: 03/17/94 03/17/94 03/17/94 Minimum Analysis Reporting Reporting Constituents Results Units Level Benzene · None Detected ~g/L 0.5 Bromobenzene None Detected ~g/L 0.5 Bromochloromethane None Detected ~g/L 0.5 Bromodichloromethane None Detected ~g/L 0.5 Bromoform None Detected ~g/L 0.5 Bromomethane None Detected ~g/L 0.5 n-Butylbenzene None Detected ~g/L ,,~0.5 sec-Butylbenzene None Detected ~g/L tert-Butylbenzene None Detected ~g/L Carbon tetrachloride None Detected ~g/L 0.511 Chlorobenzene None Detected ~g/L 0.5 Chloroethane None Detected ~g/L 1. Chloroform None Detected ~g/L 0.5 Chloromethane None Detected ~g/L 2-Chlorotoluene None Detected ~g/L '~i~'~!Sii 4-Chlorotoluene None Detected ~g/L Dibromochloromethane None Detected ~g/L 0.'5'i 1,2-Dibromo-3-Chloropropane - None Detected ~g/L 0.5 1,2-Dibromoethane None Detected ~g/L 0.5 Dibromomethane None Detected ~ ~g/L 0.5 1,2-Dichlorobenzene None Detected .:~i..i?j.~g/L /0,5 1,3-Dichlorobenzene None Detected :~i~g/L · 0.5 1,4-Dichlorobenzene None Detected '~g/L Dichlorodifluoromethane None Detected ~g/L 0.5 1,1-Dichloroethane None Detected ~g/L 0.5 1,2-Dichloroethane None Detected ~g/L 0.5 1,1-Dichloroethene None Detected :~.,.,~g/L .0.5 cis-l,2-Dichloroethene None Detected ''.!:~g/L '~i:!:~i!~i'::: 0~5 trans-l,2-Dichloroethene None Detected .~g/L 0.5 1,2-Dichloropropane None Detected Mg/L 0.5 1,3-Dichloropropane None Detected ~g/L 0.5 2,2-Dichloropropane None Detected ~g/L 0.5 1,1-Dichloropropene None Detected ~g/L 0.5 Ethyl Benzene None Detected '~g/L ~i/ i 0.5 A!! ,esu hs !, s:ed in this ,~ E~.u are for ~he exclusive use o! the submitting par~y. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachmenl or third party interpretation. .-'." 1 (-JC') ~%~ .b~s~ (~.. - F~-]l.-.e~, .~s~fic~ld, C.~ !-: .'-4'LR~ ~.I . [L-3CE:~).I ~J27.~l~c::J1 I - [--Z:~X 1'80~ 32'?. 1C'~'I ~ LABORATORIES Volatile Organic Analysis (8260) HOLGUIN, FAI{AN & ASSOC. Date of 3157 PEGASUS Report: 03/18/94 BAKERSFIELD, CA 93308 Lab ~: 94-02828-1 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: KEN-WORTH PROPERTY WATER WELL, 03-17-94~ 1305 HRS SAMPLED BY DAVID RITTENHOUSE/MIKE GR/kHAM OF BC LABORATORIES, INC. Minimum Analysis Reporting Reporting Constituents Results Units Level Hexachlorobutadiene None Detected ~g/L 0.5 Is0propylbenzene None Detected ~g/L 0.5 p-Isopropyltoluene None Detected ~g/L 0.5 Methylene Chloride None Detected ~g/L 0.5 Naphthalene None Detected ~g/L 0.5 n-Propylbenzene None Detected ~g/L 0.5 Styrene None Detected ~g/L 0.5 ~:~"' 1,1,1,2-Tetrachloroethane None Detected ~g/L 0.5 1,1,2,2-Tetrachloroethane None Detected ~g/L 0.5 Tetrachloroethene None Detected ~g/L 0.5 Toluene None Detected ~g/L 0.5 1,2,3-Trichlorobenzene None Detected ~/L ~0~.5. 1,2,4 -Trichlorobenzene None Detected ~g/L '~i~0~5.~ 1,1,1-Trichloroethane None Detected ~g/L O~5~ 1,1,2-Trichloroethane None Detected ~g/L Trichloroethene None Detected ~g/L 0.5 Trichlorofluoromethane None Detected ~g/L 0.5 1,2,3-Trichloropropane None Detected ~g/L 0.5 1,2,4-Trimethylbenzene None Detected ~g/L ~' <:~ '0~5 1,3,5-Trimethylbenzene None Detected ~g/L ii~.5 Vinyl Chloride None Detected ~g/L . 0.:5~ Total Xylenes None Detected Bg/L 1. California D.O.H.S. Cert. ~1186 Department Supervisor All results listed in lhJs ~epor~ ~re for lhe exclusive use of lhe submitting party. BC Laboralo rJe s, Inc, assumes no responsibility lot report alleration, separation, detachmen! or lhird party interpre~fion. 2Report To: U (,. - e Analysis Requested Name [~ ~k¢ 55~roject: Address: Project~: ~ ~ ~ City: 8amplor ~ame:~ ( ~ ~ Stato: Zip: Olhor:. Wq~ ~ ~ Phone: x ~ La~ Sample Description Date & Time Sampled Comment: Billing Info: ~eived by: (~nature) O '~ tlc[ ' - ~(R~,~ ~'", ~ ~ Name: 5~ ~ ¢ ~¢¢V ~_ ~o~nqui~ed by: (Signature) Receiv* by: (Sig~ure)' ' ~ ; ~ (~ ~ ~ Address X~ ~k( ~ [~ City State Relinquished by: (Signature) Receiv~ by: (Signature) Time: 0 0 ' Relinquished by: (Signature) Received by: (Signature) Miles: Relinquished by: (Signature) Received by: (Signature) Date~' ~i~e~ Sample Dis~sal P.O.~ Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ BC Dis~sal ~ 5.~ ea. ~ Return to client 5327 Wingfoot Drive Bakersfield, CA 93306 (805) 872-4750 Laboratory Results For : Date Received : 2/16/94 Kenworth Date Analyzed : 2/17/94 3012 Pierce Road Analyst : J.S. Johnson Bakersfield, CA Lab No. 940016 Sample Matrix ; Soils Sample I.D. Total Recoverable Hydrocarbons mg/kg W B. 370 E B. 50 N W. 20 E W. 20 W W. ND S W. ND P-1 2300 Blank ND All Results Reported in Milligrams per Kilogram ND : Non Detectable ; EPA 418.t (10 mg/kg) Analysis of Total Recoverable Hydrocarbons ; EPA 418.1 Certificate Number : E739 ~K~Z ¢~x J~~o~son, Chemist Cerlified Full Service On-Site Analyiical Laboratories CHAIN-OF-CUSTODY RECORD Page of Client Name /,i t,t.~,~.~ Project Name Client Contact/Phone No. Send report to: .' .-._. Contract Code [lc~"l Holguin, Fahan & Associates, Inc. ' Samp~,Name Sam,,~ r's~Sign~[~.. Date Analyses Requested ...... ~,AO..-I' ' 14;, cc~'-,, ,~,-~, c.-. Sample ""' '~ Attn: HFA Date Time ground water (e.g., sampling location, depth, Type ofk~"~' SPECIAL INSTRUCTIONS Sample # Sampied Sampled air, water) soil boring or MW #, etc.) Containers {i.e., turnaround time, elc.) ..~. ...... {'z:o3 5 tJ.'~.~tl oF ~. D~... ~ ~' ~'I~ ' W. vJ. .. %.:~ .... ~ ..... ~_.~t3__~P__~S~e ..... ~_ ~ ................ I'~'_ REQU,RED DETECT,O, UM'TS E_] LOS Angeles County ~ California LUFT ~'' '~ _ ~,'~,,~ t'~) ~' ~', ~t.a}~'~ ~. ~:~ 1~ ~_,,o ~.3('4~,, ~ X [ ~ 1 [] Santa Barbara County [] SW-846 .................. see reverse for required detection limits SAMPLE RECEIPT Yes No Sampie Seal Intact [] [] Sampie Condition Acceptable [] [] "" ' Sample Temperature Appropriate [] · [] PRESERVATIVE ADDED?- ............................................................... [].o []yo, w,: All samples stored overnight at HFA are relrigerated at 4°C. Samples are transported to the laboraton/in coolers filled with Blue IceTM. . Delivered to HFA's refrigeralor for t4mporaryi! storage on '-:' . ':"~'~'~ (Initials) Re~led By: (SI{ ~ature/C lanlzalion) Date/Time_/ Received By: (Signature/Organization) Laboreton/Name & Cily . ,,.~u/,._.o.-~ ~ ~ Z-I~,- ~, "..~ Re ecl BY:' (Si{ inature/Org~nlzatiofl) Date/Time ,i ReceDed By: (Signature/Organization) : . - ~J (fo.'. ulxlmd e/es): Relinquished By: (Signature/Organization) Date/Time Fleci~ived ~ ay: (Slgn~Rure/.Organlzatlon) Include Special Hazards Here: Return sample(s)/cooler to: Holguin, Fahan & ' %ociates, Inc. · 143 So(th Figueroa Streel, Venture, CA 93001 · (805} 652-0219 · FAX # (805) 652-079a ' · Total Petroleum Hydrocarbons HOLGUIN, FAHAN & ASSOC. Date of 3157 PEGASUS Report: 03/15/94 BAKERSFIELD, CA 93308 Lab ~: 94-02665-1 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: KENWORTH: S-1 @ 22' (SOIL) 03-15-94 @ ll:20AM AM SAMPLED BY T.M. Sample Matrix: Soil Method Constituents SamDle Results Units P.Q.L. Method Total Petroleum Hydrocarbons 1100. mg/kg 200. EPA-418.1 Note: High reported PQL's due to high concentration.,~of target~?analytes. California D.O.H.S. Cert. ~1186 Department Super~ sor All resuhs listed in this report are for the exclusive use of the submi~ing party. BC Laboratories, Inc. assumes no responsibil ~y for report a leration, separation, detachment or third party interpretalion. .dl OC3/~q.I;:ts l'~:.. - ~3~ker-~--ff, r_-~kd. (_£A ~L3:~-~--) ' 1'8(~) ~32T;~491 I - FAX (E)Ob--I t~q2_.'7' 1 91 8 0 : /'~'~__ /~¢~r-~.~.. Project: L,,~,,,~T'H- ~' I-' Address: .'~ f~- ~ f,~ . .-/A,ru.¢ Project #: :::3 City: (~l, Oss ~,et~J Sampler Name: ~'./-~. (') state: zip: ~ ~her: o ' ~ ~ o ~ Zo ~ Phone: ~ La~ Sample Description Date & Time Sampled o'~ ~ Comment: Billing Info: Re~~~ture) ~Receiv~d by: (Signat~¢) ,-. Date: Time: ~ ~~f~" e Name: ~/~¢/~ ~Z~ ~ 4'~- Re~quishe~by:(Signature) ~eceived by: (Signature) Date: Time: 'E ;~ ..... :-- * Address ~1~ 0 ~~¢ City ~ ~, State ~ Relinquished by: (Signature) Received by: (signature) Date: Time: · , *.e.tion: * ,inquis ed .: Si na,ure .ece.w b.: S. na, u,e l lime: Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: Sample Dis~sal P.O.¢ . ~:~ ' ~ BC~ Dis~salReturn to ~client5'~ ea. ~ LAE)O~TO~IES Total Petroleum Hydrocarbons HOLGUIN, FAHAN & ASSOC. Date of 3157 PEGASUS Report: 03/22/94 BAKERSFIELD, CA 93308 Lab ~: 94-02923-1 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: INLAND IND.: WEST (SOIL) 03-21-94 @ 2:30PM SAMPLED BY TIM MARTIN Sample Matrix: Soil Method Constituents Sample Results Units P.Q.L. Method Total Petroleum Hydrocarbons 110. 'mg/kg 20. EPA-418.1 California D.O.H.S. Cert. #1186 .. All results listed in lhis report are for the exclusive use of ~he su! g party. BC Laboratories, Inc. assumes no responsibility for r~lleration, separation, detachment or Ihird pa ny interpretation, 4100Arias Ct. · ',3~sfield. CA 9330Lq · LAE~O~b~TO~IES Total Petroleum Hydrocarbons HOLGUIN, FAHAN & ASSOC. Date of 3157 PEGASUS Report: 03/22/94 BAKERSFIELD, CA 93308 Lab ~: 94-02923-2 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: INLAND IND.: MIDDLE (SOIL) 03-21-94 ~ 2:33PM SAMPLED BY TIM MARTIN Sample Matrix: Soil Method Constituents Sample Results Units P.Q.L. Method Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 California D.O.H.S. Cert. #1186 AIl ,esulls listedin lhis report are for the exclusive use of the sut i par~y. BC Laboratories, Inc. assumes no responsibility for r~m..n, separation, detachmem or ~hird party interpretation. 4100AdasCt. · e,%fi~k~ CA 9330~ · (8C)5)327~4911 · F-~,/~05)~7- 1918 LABORATO~tE S Total Petroleum Hydrocarbons HOLGUIN, FAFJ%N & ASSOC. Date of 3157 PEGASUS Report: 03/22/94 BAKERSFIELD, CA 93308 Lab ~: 94-02923-3 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: INLAND IND.: EAST (SOIL) 03-21-94 ® 2:40PM SAMPLED BY TIM MARTIN Sample Matrix: Soil Method Constituents SamDle Results Units P.Q.L. Method Total Petroleum Hydrocarbons 21. mg/kg 20. EPA-418.1 California D.O.H.S. Cert. ~1186 Alresultsl~s~edmthsrepor[arefor~heexclus~veuseofthesu parly I)CLaboraE)nes Inc assumes no res ns~bih forr temt~on se rat3on detachm n ~r ter re n 4100AUlas Ct · Baker~flelrJ, CA 9330~ - [IL:30~) 32~?~49'1 ~ . FAX~TS-- :B27-1 91B LABO F:qATOF:::IIES Total Petroleum Hydrocarbons HOLGUIN, FAHAN & ASSOC. Date of 3157 PEGASUS Report: 03/22/94 BAKERSFIELD, CA 93308 Lab ~: 94-02923-4 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: INLAND IND.: SOUTH (SOIL) 03-21-94 @ 2:50PM SAMPLED BY TIM MARTIN Sample Matrix: Soil Method Constituents Sample Results Units P.Q.L. Method Total PetrOleum Hydrocarbons 520. mg/kg 100. EPA-418.1 Note: High reported PQL's due to high concentration of target-~mnalytes. California D.O.H.S. Cert. ~1186 Department Supervisor -,:~ · ".: '.~"~ AIl results lis~ed in this reporl are fo~ the exclusive use oflhe sub ; pa~y. ~cLab~m~ories~n~assum~s~r~spons~i~yf~rrei~em~i~n~separati~nLdemchm~n~r~irdpan~n~rpr~m~;~n 41L-)0 At-J,~s Ct;. - mfielcl, CA 933OZ~ - fE~_OfS] 327-491 I - F~JSJ L--J2¥'-191F~ LABORATORIES Total Petroleum Hydrocarbons HOLGUIN, FAHAN &ASSOC. Date of 3157 PEGASUS Report: 03/22/94 BAKERSFIELD, CA 93308 Lab #: 94-02923-5 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: INLAND IND.: NORTH (SOIL 03-21-94 @ 2:55PM SAMPLED BY TIM MARTIN Sample Matrix: Soil Method Constituents Sample Results Units P.Q.L. Method Total Petroleum Hydrocarbons 92. mg/kg 20. EPA-418.1 California D.O.H.S. Cert. #1186 Department Supervisor ~'?,'. ' All results t,sted ~n this report are for. the exclusive use of the sub~lI party. 8C Laboratorie s, Inc. assumes no respon sibility for reiteration, separation, detachment or third pa ny interpretation Report To: ~¢~- o,~ '-~ ~ ~ o~,~ Analysis Requested Address: ~7 ~4~u~ Project ~: ~ CRy: Sampler Name~~. 8taro: F~ Zip: ~J~ ~hor: '~ ~~ .... E = ~ o x ~ Phone: La~ Sample Description Date & Time Sampled > ~ X~ AddressName: ~,,,~ ~~ Relinqu/shedby:(,,ignature) ReceiveO by: (Signature) Date:Time: ~ Relinquished by: (Signature) Received by: (Signature) ~ City~~O C~ State ~ Date: Time: ~/~ A. ention: ~ Relinquished by: (Signature) Received by: (Signature) Date: Time: '~r ~/~ Time: Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: Sample Dis~sal P.O.~ BC Dis~sal ~ 5.~ ea. Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ Return to client LABORATORIES Total Petroleum Hydrocarbons HOLGUIN, FAHAN & ASSOC. Date of 3157 PEGASUS Report: 03/25/94 BAKERSFIELD, CA 93308 Lab #: 94-03115-1 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: ~H015 INLAND KENWORTH: NP-NE-1 (SOIL) 03-23-94 SAMPLED BY MARK MAGARGEE Sample Matrix: Soil Method Constituents Sample Results Units P.Q.L. Method Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 California D.O.H.S. Cert. ~1186 Department Supervisor ~ : - suing 13a~ly. BC: Laboratories, Inc. assumes no responsibility for alteration..separation, detach men! or ~ird pa fly ~nlerpretet~or~ All fesuIJs Ii sled in Ibis reporl are for the exclusive use of the 4100Aclas Cu. · Bakeesfield, CA 93~--3~ - (E)055) 327~491 I · ~3-J~) 327-'~ ~1 ~_ L~BOI~Z~TORIE~S Total Petroleum Hydrocarbons HOLGUIN, FAHAN & ASSOC. Date of 3157 PEGASUS Report: 03/25/94 BAKERSFIELD, CA 93308 Lab #: 94-03115-2 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: #H015 INLAND KENWORTH: NP-SE-2 (SOIL) 03-23-94 SAMPLED BY MARK MAGARGEE Sample Matrix: Soil Method Constituents Sample Results Units P.Q.L. Method Total Petroleum Hydrocarbons 25. mg/kg 20. EPA-418.1 California D.O.H.S. Cert. ~1186 Department Supervisor ... ': AIl resulls listed in this report are for the exclusive use of the suOg party. BC Laboratories, Inc. assumes no responsibility for r~alteration, separalion, detachmem or ~hird parry interpm~a,,ied 41 O0 Atl~s C~:,. · Ez3-~k er'f:~f~,ld (-'~.Z~ 9.'-z]30~ - [E~_~) 327~4~q I I . FA~805) 327--'1 c::j-t'8 ( ~BO~IATOIqlES Total Petroleum Hydrocarbons HOLGUIN, FAHAN & ASSOC. Date of 3157 PEGASUS Report: 03/25/94 BAKERSFIELD, CA 93308 Lab ~: 94-03115-3 Attn.: MARK MAGARGEE 805-391-0517 Sample Description: #H015 INLAND KENWORTH: NP-WE-3 (SOIL) 03-23-94 SAMPLED BY MARK MAGARGEE Sample Matrix: Soil Method Constituents SamDle Results Units P.Q.L. Method Total Petroleum Hydrocarbons 21. mg/kg 20. EPA-418.1 California D.O.H.S. Cert. %1186 Department Supervisor ' ] A!I ,esul~s listed in this reporl are for the exclusive use of the i pa~y* BC Laboratories, inc. assumes no responsibility for ~ aheral;on, separation, detachment or l:hir(~ party mterpreta~ia~ Report_ TO: k_~\L.,% __ ~.,~\ ~ ~'~ Analysis Requested Name: ,,,/~./~,.,;.. ~.,,,/,,~,.,~/,.,,.o~:,~ ~.~Project: _.~",-..,-/~.,.,~zz.~,"~ ~ ~' Project #: /./~/.¢' '_.... ~ ~ City:~ . Sampler Name: ~, ~, $ ~=m- State: Zip:~~ Other: o ~ % A~n:,.~ ~~~ ~ ~ ~ ~ ~ ~ zo Ph~n~ L~ ~mpl~ D~scriplion D~le & Time $~mpled ~ Comment: Billing Info: Relinquished by: (Signature) Ceceivpd by: (Sigoamre)' - R Received by: (Signature) Date: 'rime: Name: Address City ~ State Relinquished by: (Signature) Received by: (Signature) Date: Time: A~ention: Relinquished by: (Signature) Received by: (Signature) Date: Time: Time: Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: Sample Dis~sal P.O.~ ~ BC Dis~sal ~ 5.~ ea. Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ Re~rn to client ~J HOLGUIN, ~ FAHAN ~ & A,~SC~IATES, INC. ENVIRONMENTAL MANAGEMENT CONSULTANTS ATTACHMENT 5. NON-HAZARDOUS WASTE HAULER RECORDS I . '::i:'~::~::.:~: . -Y'/%;*- THISIsTO'CERTIFYmatlhe ~ "'. .... : .:~-:.,.l '.:,l.:ll?~t:*~ ' ': .,=,.'~, . I ~ ..~. . .: .............. .~.~ ...... ' ~.....-.-.. , ~..~,,, -.~ .... .. ~T.. ),. ...... 1~ ~5~~.....,, ..... ' J: .... . ...... l ......... .:, ...... l ...... I · 2123 PANA~A'.~ROAD ..... 'I~'~:'"I~Y':Vg'll~V~7 ''ll ll''' :'::~:l: '?:"~l~~e. '~ l': ': l~:l: l: .: l'l- l''/.. ,' .' .~ ' . 05 807.2740 ' - ::(~ .... '- ,::- ~. .... :' ' ' ' ":'..":?~:=:Z'?.~::.:."'W?5:~:'::~'' .%: l::-"8 ) ,; I-:I-.V,; :~ I ... I I :'..' · - . ~( .-_./ . . .-~ .,.:.;::~ ' - '.'~}.o. ~.,......,:, :.;..,,. ~..; · · . . . l. ,".: l' l:'::~?:'l':" '~'.':~:'=.l~l~:, . ..... ?. .l:l . .:..... l'__'l I ' :H:..I.:I, U~'] "'. ....... . ' I .ll 'l ,: :ll'':''ll''l }-}l,'ll : ' 21ZS. Panama Rd.'l~:.-l' ~ ~.:~ ::l l-ll'l.:=.., l.' ::l/l l'l ... :.. l ..: ,~ ~ . ~;}~'{:~4I}~:~:'U::I~'Il. l . . ill' : .: ,l..:: l''l''' . .' '.l ,~'~l:::'.lll'l I ': lbs GRO~S I l, l. · . .l.'l:l,:~}~',::;l l. I~ '. .......... 'y;:': " ' '*~"' ','..:'.. ':/'~::"~:':': ': : ' ":" '~' "_ .'~T ' :'.?4~0'LB ~' ":": :::::' · "-":: .... : "-t' ".' SCREENING RESULTS: I ' ' ~ ~ ~ ~ J , ~ ~ I I : ' Ilbs TONs ..[' ....... ' .. '-.~, '... l Ia~n~i~;~P{lOf'the's~iil'd~'s~ib'ed 'l~~ve a~d.l . cefl,~ ihat'th~.~:.'~ii.is being delivered to the uesignateo Facili~ in 'exactlY'the Same ~nd"ion as when received. TRAILER LIC. TRANSPORTA~ON FEES are payable u~n CleanSoils DRIVER/RECEIVER receipt ~ayme'nt from clien~generator. - I · .' '.' , '~,/.~Y...~.. ', ,":., ;': "::~ , : . ' .: '. · ' : :.':'~.~.~"~z:.~;','~,.'". · 'H-.,~:', -Tank No. '~. "'"': ' P.O. BOX 5295 · 'BAKERSFIELD, CAUFORNIA 93388 · ~:"[, ' '(805,) 589: 5220" "'" N©. 117466 N )I fiAZARDOUS E?HAuLERR EcoRD . ' ' ¢OBE, USED-FOR NON;H RDOUS.WASl S!.ONLY.. · . . ~..:~,,~.: ,' ,:~ , ', . ~ ~:'"'""'"'"' "'~ :! WASTE.TO BE-DISPOSED ;~..;'::;,.... ~.'.: ...-.? ?/'~' '.;;i. ' . ~.~ Generating LoCation i _..~Z:~/.Z ,~ddress ~ z//~__ ~ j~./__.A~-,~ 4~y~. . Special Handling Instructions: :~.,!:?. City, State, Zip '~ ./~u/~'~//~/'~/~~'~ z~ ~""' I/~'~' ~'~'~ -.' [] Gloves..· I-'l:Goggles [] Other ~. -:~' · ~?~" Phor~ .-- / - ~,oZ/ Quantity · / ~ · ,,,:.-~ -..-Order':Placed By ~"."~'~ ,,~,4-~ ~'/"<'~ /-"/~/:::~ ..k, DESIGNATED FACILITY .Signature of Authorized Agent Name - ' '7~.~ /?]A~r,~ ~"'- T_ ~ t,. . ~t " ~-T . , , ~ , ,. ~- 1 f'£. Address ~/2'.~ //~..~/~)~,,,~ Date' ~'~- { ~o ' q ~ ( City, State,.Zip ,~/~"-~"/-~/'~? ~---~- 'Title ~~- ~'~3~ ~ Phone ~_~-- ~7-~ (Hauler Must Complete) ~ Ticket ~ ~/~ ~~ Unit No. Name----~ ~~~T~ ~/o~/ /~ Address ~ ~ y ~~ Pick Up Date ~-/~-~ Time ~: OD D PM Ci~, State, Zip ~ ~ ~. / ~ . ~ ~ NO~: Th~ form to be used in lieu of t~ Californb ~d~nt of He~th ~rvices Haza~ous Waste Manifest for NON-H~AR~US wastes only. . Phone:,' ~' ~' REMARKS: .{.:. ' ~Si~n~u~of Author~¢~Agent or Driver ~ L~~/~ ~ / ~. Ouanfity ~ecoivod .- Bbls. Date : ~. ', ~' . '. :.~ ., ..:.....:~;~.,, ' , .,, Name ~ ,: , ~" .L..:::. Time ~ PM Address Ci~, State, Zip -~~ ',~ V. ~J ~ ~:~ G ~ ~ 4 7 DISPOSAL METHOD: O Surface Impoundmen~ U Injection V " ':' ~ Landfill ~ Other Phone ~0}-'~7-27~/~ /Disp. Ticket~ Ob~J~L~ ......... ~etu~ C~y To: GENEBTOR UNLESS O~ERWISE SPECIFIED'~ Signature of Authorized Agent ' 5~, Date _,'~r,~ ' ~-~ '//~ ~ NOTE: It is not necessary to send copy to ~pt. of Health ~rvices. ~. ', ". {_~'----~ ( NO HAZARDOUS FEES SHOULD BE LEVIED ~o,~ ~-~-~o DISPOSAL COPY Tank No. P.O. BOX 5295 · BAKERSFIELD, CALIFORNIA 93388 NO, ~~7467 Area , :; .... (805) 589-5220 ..... ..... . HAULER RECORD .~ , ..... TO. BE,USED FORNON~HAZARDOUS WASTES~ONLY '" (Generator Must Complete) .:'~ , ...: ' : WASTE· TO BE DISPOSED Address ~-~'~//L'~ ~' ~u"C'7/~,'~7 ~-4~. r/~ special Handling Instructions: ::Placed By 7 /,1,3~ /';~'/~ Y/.z..) , 1--/,~--'~/~1. DESIGNATED..FAClUTY -.~,!~i: ...... · ·"' .! :.. SignaJ:l~e of Authorized Agent '~ / ' ,?: ~ Name Hauler Must Complete) .:. ... ~. ":, · me (? ~'~") D PM .":? ' City, State, Zip ~ . ~~ ~ NO~: ~is fo~ ~ ~ ~d in I~u of t~ C~if~ ~nt of ~alth ~es %,:.. . / ~ '" Haz~ W~e Man,est for NON-H~R~US w~es ~ly. -...... ~ REMARKS:'-..'""'~':: Si Driver ~ ~-~~O/~ ~ 4~- ~ /~~ (Facility Operator Must Complete) OuantitY ~ocoivod : Bbls. Dato :"?' Ci~, State, Zip ?~.,.~~-~"} (:~.~ <'~ ~ ~°7 DISPOSAL.METHOD: ~ Surface Impoundment D Injection Phone q.2T gq ]-'~¢~tO /Disp. Ticket~ ~ )~')(~ ~ 75~ , ' .' · ~Landfill ~Other Ro~ C~y To: GENE~TOR UNLESS O~ERWISE SPECIFIED Signature of Authorized ~ent . "~ -? Date ' · ' [" ~ ~ NO~: lt is ~t necessary to send copy to ~pt. of Health~rvices. ( :~, _,,~.~ L. ' ~/ NO HAZARDOUS FEES SHOULD BE LEVIED SULFIDE: OYANIDE: DRIVER / RECEIVER TRANSPORTATION FEES are Pay~n CleanSoils receipt of Payment from clienVgenera~r. ;" !~Well, Tank No. . P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 'Field or Area - ~ .... .,.~ (805) 589-5220 .....,. N©. 1 17 4 6 5 ........ NON-HAZARDOUS:WASTEHAULERREcoRD 'TO BE USED FOR' NON-HAZARDOUS WASTESiONLY i,. ~~ ....... ~ (Generator Must Complete) ~ WASTE TO BE DISPOSED Field Address Z~.~ ~~. ~.% ~ Special Handling Instructions: Order Placed By ~/~ //~ ~/~ / ~/// ~ DESIGNATED FACILITY ~ (Hauler'Must Complete) ',. Address ~O ~ ~ %~ F . , ~ NO~: ~is. fo~ to. ~ used in lieu of t~ C~ifom~ ~nt of ~aEh ~es / ~ Haza~ous W~te ~nifest for NON-~R~US w~tes only. Signature of Authorized Agent~ Drive~ Signature of Authorized Agent . ., . Date ~~t , _ , NO~: It is not necessary to send copy to'~pt, of Health ~ices. ~o.u K~-~-~O DISPOSAL COPY -.' ~O~EENING BES~LT$... :; ..,.:' .:.':;.,';':::.:,: t :'./ 0,'- -':' ' - .",':'.~ ,;""-.'Zh,:-T~ ":.".' .: '" ' .'...'.' .... ..... :~';,~ ~-'' '.':': '"" , ''. , ' ' , X': X: :. '../.';.t . ....: ,'; : :',:,;;:I.'~,.~'..~{'.,/ ~ . · ;.:' '."- ,?f~)-:~-) :'. t:'-. : :.' · : · i ~ ~ ; ~.~ .::: . , ..- .. - . - -,.., ? : ...',..;. r,..;:,: :,,~..... . SULFIDE' .~ .: ' : · : . · ,, ~ :: .... ~.,, .. I ' '':'.::.7'/t-L· ' ' CYANIDE: .-- t er"ra.s o H ';' ' ' . ' · .'."; · "'.' ' ~' ".' . ~:'~'.~'"'";~'..?'~ Z ' I acknowled e reoel tol the soil described a~ve and , · . .. · . :..:-. :,. ~ ~- ~ ' g P ...... ' - '- ' · d .... TRUOKLIO ~ )~ .... Ce~ffy that the so I is being'delive'r~ lo theues gnate · '. · .. - ·,':: ~ ,. :- ,;- . receipt o['~ymen~'from Clien~JeH~'ratsr. ' ': ~.'' ":': .:'t .. '.t" · . .. . ,. .. LH ~ ~ i;Well, Tank No. P.O. BOX 5295 .... RAKERSFIEED, CALIFORNIA 93388: .' .i ' 'NON-HAZARDOUS: wASTE HAULER,. RECORD TO BE USED FOR NON'HAZARDOUS WASTES ONLY ~ (Generator Must Complete) .~ :'~:'"'- WASTE TO BEDISP_OSED , , City, State, Zip ~' '~' ' ( / ~/'- g'~"" _~ [] Gloves... [] Goggles. [] Other ._. City, State, Zip · ust City, State, Zip /~~~. ~ ~~ N ~ NO~: This form to be used in lieu of t~ Califomb ~p~nt of ~alth ~ices Phone ~ ~- _~ ~ O ~ Haza~ous Waste Manifest for NON-H~R~US wastes on~. ~ REMARKS: Si~natur~of Authorized A~ent or ~dver City, State, Zip ~¢¢~~,.., ] ~,. 4-¢-~ ~ ~ ~O 7 ~:' DISPOSAL METHOD: ' D Surface Impoundment ' D Injection Signature of Authorized;Agent ¢~ Date' Re~ C~y To: ~~ UNLESS ~~ "' ~ ' '~,.,'~(~.. ~ ~4/~ / NO~: It is not necessa~ to send copy to ~pt. of ~th ~ices. ' " ' .... " NO H~RDOUS FEES SHOULD BE LE~ED o.u xvs-~.¢o DISPOSAL COPY '. ''-'.' .'~:;?' .'j .;". ·" """'- ". ~ '.~..:.'] ":'J 'J ....... ' ' ...... ': . .4, :'~ .. '. ' : ".'.,L': ' h .'.~;~. ',> ;L'~L:eL'~· '-:;~..:.~-' ' '. '"CA 93307 ~?'"":'"' ": .";;~;~:~.... ~.-.-','-.'..' .~ .';":.{L~-: '.L.... ~..,¢:. .;,,:':: .~:::~... . ~;.:::~ ; '. }.: . ~.-, -.::.~..~ .... ~ ?¥ · ~,...,,:-:~?' ¢;'~ .....::' ;, : :: . - :-,T~: ~ NET scREENING RESULTS: ~: ...... " . "'~'~' Ibs"TONS . . ,. .,~ ,-.... ;.. -:....., ? .";;¢-; .. SULFIDE:' : :: "'TRA~SpORTE:R' C~TIFiCATio N: :~.~.;,:. :.4-LOAD~ ' ~' TRUC ~ :'l'~'~'~'Wiedge"~e&'~:i~{?~f t~:e'sb'il deS~ib~'d a~ge and .' '-.' '"~;' TRUCK LIC, ced~ that the ~iliS. b;eingdeliVered t° the Designated · ' ":~;;~::~';~";'.~:-~7 ''f Facili~ in exactlythe 'same Condition as when received. TRAILER LIC. ~ TRANSPORTATION'FEES are payable u~n CleanSoils DRIVER / RECEIVER ~ receipt of payment f?m clien~generator .......... .'. ~.. ~ D~;r~ ~.-~..~ -. ''. .Date :~./,/fg/~:;',! ..'...,.... M/ell, Tank No. , ~.0. BOX 5295 · BAKERSFIELD, CALIFORNIA 93388. ': · .'. : . : ' ":".?'.'. · · ' ......... N©. 117 4 7 3 ~ield or Area _ ,,~--~~ .~ .~--~, ~ ...:.... :'.:. .~ ...... NON'HAZARDOUS::WASTEHAULER REcoRD .-.' . TO'BE'USED FOR NON,HAZARDOUS~!WASTES~,'ONLY/'~;:~.· ~~~~' (Ge'nerator Must Complete) "' ;: WASTE TO_BE DISPOSED Type/-~./J/~,~---'~"Z~ ~'~-,~/~-/'~,~, . Name /K/Z- /'~/L./'/"~ /~/.'~-/~'?-'/'//,~-~ /---:72'/"~. .. Generating Location ~-.~/? ,/~,~::~'--o Field Address 7~//r.,~'.~ /-.~_~Md~', ~-~ ~- ..,... . Special Ha~ling Instructions~~~ City, State, Zip. ~~'~ ~' ~ ~ /5 ~ ~ ' · :. ~ Gloves :r D.Goggles D Other Phone ~ ~/ ~ ~ ~ ' : ":.?'"., Quanti~'"' "~- " /~ Order Placed By /~~ ~~~/ ~'/~ ~:--DESIGNATEDFAoiuTY Signatur~ Authorized. Ag~? " '..: ~~~ 5 Date ~ ~ ~t'~ ~''' c.,~ ~l~.j ~c:. · Name '~' ( City,. State, Zip ~~~ ~ - (Hauler Must Complete) .~. ,.:' .:. · :: Ticket # ::~/~ ~~ ~ Unit.No. ~ ~ ~ .~ 7 Pick uP Date"~ ~/~- ~ Time ~ PM .~) Address " - - ~ City, State, Zip ~~-~- ~ . ~~ NO~: This'form to ~ u~d in lieu of t~ C~Eom~ ~nt of ~h ~es ~ Haza~ous..W~te M~ifest for NON-H~R~US w~es only. ~Phone ~ -~ ' · ':' ~ ' ~- ~~ REMARKS: -.. ~ Sig,~ of AuthoriZed Agent or Driver ~~~ ~ ~ ~ ,~ Date ~/~-~ ', '."~ ' (Facd~ Operator Must Complete) ..... ,, . ,~:', ',' ,' . -.. ' QuantityReceived ~ ~' ~/ Bbls. Date Name (' ~ ~-~ ""' ~'' " , ~:.~,~,..~?~r~:.. · ': ::'": :?~:~:~.:Time : O .. Address ~ ~ ~ ~ '"' '~C,~',~C~ ~ · . :::;;'~?~:'.... ::::: .'. .. . .:.. City, State, Zip ~,~~.~ <'l/(:;r~ q ~ ~O ? DISPOSAL.METHOD: D Su~ace Impoundment D Injection Phone g'Qt ~7-)T~/ O /Disp. Ticket~ ~5~/ )~ "';':"':'' DLandfill DOther Re~ C~y To: GENE~TOH UNLES~ Signature of Authorized Agent . Date . - ~ /~) NO~: It is ~t necessary to se~ copy to ~pt. of Health ~i~es. ~.. .... ~ +{,. ~'~ ~';,-,. ~.. ~ ~ / NO H~RDOUS FEES SHOULD ~e LEWED ~..xvs~-~, DISPOSAL COPY '-, ,~..~ ~e (805); 97:2740 ~:~.:'~..;::~;~;~..:-.~'.~:.:~-~:~::~';~'~';~. .... 'WE~E~?XT~'~: :~ ~" ~'. :': ":' ~"~':'?-'~'~'-~:" i .2123PanamaRd.::'-'."~:,~.:: .':~ . ':::' .TARE cyANiDe:''. :~' ~'. :.......:' .r'': :,. :'.:' , ~ LoAD'~"~~ ',: '...( ~RuCK~-: ..:'::}~' ".::.~ ::1:'2:' '.":. '~' -- ":"~ ", ..... '' R CERTIFICATION: ' TRANS .pQRTE ........ : ..... .: ..... · ":'" ':-~ribed a~ve and. :. '-' ¥~:: .:...'~':~.'-'~:':..::~'~-¥.:.:; .TRUCK LIC: ~'~'~': "/:".~'."~ ..... .~ .~. ~.' - aC~now!edge' receipt.of the s?! ~d~ ce~ thatthe ~oil is being dehv~ ,~o~~c21~'~1~~ ~c are, payable, u~n CleanSe,Is ';:':.'DRIvER/RECEIVER' ' ' . II, Tank No. P.O. BOX 5295 ·BAKERSFIELD. CAUFORNIA 93388, :,;': ',Field or Area .~ ~:~,.~._ .... : ........ (805)589~5220' · :"~i ':,.~'.'.~":.':~:'.: N©. I ~. 7 4 7 2 ,, ,. '- . !',,;6:. · :¥!:~,'; .... ~.-~. '.... . ...- HoN.HAzARDOUS?:WA EHAULERRECORD .... .. ' TO BE USED FOR NoN'HAzARDous'wA SONLY ~ (Generator Must Complete). ,'~.;'" :,.. , -WASTE:TO BE DISPOSED Name /4/~ ~ /~//~5 ~~ ~ ?~. ~ Generating .Location.' ~/~ ~ ~ Field Address ~ ~ ,.. :' Special Ha~ling .... Instructions: City, State, Zip ~~~/~ ~' ~ . ~/~ ~ ~ ~ ~'Gl°ves.~'.-~ Goggles ~ Other / Phone ~ ~~ ~ ~/- ~ / , :':~ Quanti~ ":"¥~':~ ~ Order Placed By ~//~ ~ ~ ~, ~-/~ ~ DESIGNATED'FACILITY Signature of Authorized Agent ~ Name ~. Address ~/~ ~~~ / Date ? · {~ ' q '~ City, State, Zip ~~~' ~' Title [~ ~ , ~- Phone ~' ~~-- ~ ~ (Hauler Must Complete) Ticket ~ '~ '/~ ~ ~ Unit No. Name /~/~ 7~~/:~ ~ ~ /~ ~ ~ Address ~ ~ ~ ~ ~ Pick Up Date ~2- / ~ ' ~ ~/ Time ~ City, State, Zip .~~~ ~ ~~<~ NO~: This form to be used in lieu of t~ C~ifom~ ~t of ~a~h ~es ' Haza~ous W~te Manifest for NON-H~R~US w~es ~ Phone ~- ~- ~~ REMARKS: ~ Signa o~ ~utho~d Agent ~ Driver ~~/~' 5 ~ '~- Date 2 ' / (~ '~ Y ":' ''~' ':::':' ':?': ~ (Facili~ Operator Must Complete) euantitYRec:eived ~ ~ ~ O Bbls. Date Name ~~~ :'" :~,::_:. ~::¥,"~:~:'?::,:~:;:.: :~' D ~ Address ~ ~ % ~ ~ ~-. ~% ~ d "' ' .... '~. ';'"' .... ." .."~Y'¢?:?,Ti'me ~: 'U PM City, State, Zip ~"-'~-4~ ¢/) ~ q ~ ? DISPOsAL:METHOD: a Surface Impoundment. a In]eotion Phone ~o % ~'~ ]-g. 7(/0 / Disp. Ticket ¢ ~() g ~ 3 (') g Landfill g Other , Re~ C~y To: . GENE~TOR UNLESS O~ERW~E SpECI~ED ~ ~ Date '" ' " Signature of Agthoriz~d gent . '~/ NO H~RDOUS FEES SHOU~ BE LE'~ED . .,. ~ :r"', ~, '¥''~"'~' NO~: It iS not necessa~ to send copy to ~pt. of ~th ~es. ~o,~ ~vs-~-~o DISPOSAL COPY ~,'~' '"S~i'~'ENiNG RESULTS: ':!":' ~'"~"~':'"':::::"' ':': ' '''!: '' :'"':::':'?'~!':;~:'::!' !::";: .'.... ~,."~';' :'lbs ~NS . 'TR:~:~ORTER'CERTIFIcATiON~:-::. '::.:-', ' LOAD #:'" .~:"::':: ,:.-.. TRUoK ~ ::..~..:::~::~¥:/..~-~ f.:..~:~:::q:.?f:.;.~...,:',-:, ...: _ 'l..~ck~O~led e..~ipt:~of the Soil ~6'rib~d'a~ve and .'?.:~ :.:~:-::' :.'../.'::::~:'.~:~',:; ,~':':. ~RUcK Li~ :'#~~:~:~..:'. ~::=:~?:~,~'' :':: ~',, . ....... ~ ~ .: ,... , · . - . ",-'-'. ~ ' ., ' · " - '": ' 't... :.:::~::-:{::-: %-:':..Y,.:..: .;...:. ~-:~'..h~::~'.:'...-~:.~F~=6:?'~;:~L{.~':':~:.~:-~::".' · ceA~y that the sod ~s be~n~ delwer, ed t0.~ Des!~n~e~' · .-.,,.-~ - ".'.'-:' , .:'... ~..-':2.'.:~:~;':~:W'.~::g/.-~:/' ?:~'~":'~:' ':-" · Facili~"in' exacily the same cond~ion aSwnen rece~v~o. ' ' - ':. :' ' .':/HAIL~H L!~;".~ :'f'"~'~ ~."' .. '.' ~ :. " TRANSPORTATION FEES are payable u~n CleanSoils -'. DRIVER f REcEivER. ~:~ receipt of payment from clien.gen~tor.~? _ D~er ~~ ~~' Date 'c::" /~/ ::"/~ · -. '.: .' . · ./ ,.,, ,.7./ , ., .... ::: ,. · , -. · - . P.O. BOX 5295 · BAKERSFIELD., .,. CAUFORNIA 93388 ::::~:,. '.'?. ' Field or Area '~ '""= ~ · (805) 589-5220 - '?:"t · '- NON-HAZARDOUS WASTE HAULER.RECORD ]No' TO BE USED FOR NON-HAZARDOUS WASTES 'ONLY ~ (Generator Must Complete) WASTE TO,BE DISPOSED Field Address ~-~//'~.~Z' "'~J~' ~ ~" - special Handling InstructionY~f~~' ~-------'~' City, State, Zip /_~p/~/t./~// ~ '~' t//~ ~ ~"~ ~. [] Gloves ~'?1-I Goggles [] Other Quanti~ Order Placed By ~/~ ~~ ~'~' ~ DESIGNATED FACILITY Signat~of Auth ized ~gent ~ Name ~~~ ~ / . Address ~~~ City, state, Zip.=,~~ ~ . ~ Complete) .~) Address ~ ./~ ~~ Pick Up'D~te:; r~' ime ~ ~ PM ~ city, State, zip ~~,~ ~. ~~ No~: ~i= fo~'to be u~ i. ,e~ of t~ C~i~o~ ~.~.t of ~a,h ~ Phone ~. ~._~ _ Haza~us Waste ~Eest for NON-H~RDOUS w~tes only. ~ REMARKS: ~ Signature of Authorized~.Agent or Driver~.~'~ ~: ~~~'c ~ /~ · ~ ~ ~ / Date ~, - '~-/ (Facili~ Operator Must Complete). N~me ,, ~~.~ Q.~.tity R~o~i~.d a ~ ~ BU~. D~t~ : '"" ~ AM Oity, 8tare, Zip ~[d'M' ~ ~' d'x - ~ISPOSAL ~ET~O~: ~ Surface Impoundment ~ I~je~tion Signature of AutBgrized Agent '-~ Date ~-, x .,- . NO H~R~US FEES SHOULD BE LEVIED o,~ ~vs-~-:o DISPOSAL COPY TRANSPORTER CERTIFICATION: " LOAD ~ ~R~OK~#~ · · :Ce~y'that the ~ilis being delivered t0 the Designated .":.~:, .~ "TRANSPORTATION FEES are payable u~n CleanSoils '. ' ~RivER i RECEIVER -'-~~ receip~of/oayment from clienvgenerator. ~Well, Tank No. P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 .~ ' .' ...... (8o ) 89- 22o '" ,' N°. 1 17 4 7 4 'Field or Area NON-HAZARDOUS '.WASTE'; HAULER:RECORD TO BE USED FOR NON-HAZARDOUS WASTES.ONLY:: (Generator Must Complete)...' .... '~v;':! ::~ .-~?~72:.::....WASTE.;TO~.,BJE~LSPO_SF~D- ,.,_'" ,," ::~"'I_~l~ Field Address ~~ ~~' ~ ~ ~ ~ Special Ha~li~ Instructions: . : '.:.'.~-~'., , ~ . . . City, State, Zip ~/~ ~~ ~-~' ~/~ ~~,~::.','. ~Gl~e~'..~DGoggles ~Other. Phone ~ ~ ~ ~ / - ~ ~ ~ / Quantity.:.. ::' .... ' Order Placed By F ~ ~-~~/~ ~~ ~ DESIGNATED FACIUTY Signature of Authorized Agent ~ Name :' ~~/~/~ ~ /~ . _ ~" ..... Address .. : · Date "- ~¢~' '('~ City, State,Zip::?" ~~ (Hauler Must Complete) ' :': ;'""~"": ¥~ >' :' ' ~'. AddresS' ~ ~ ~ ~~ Pick UpDate ~'/~'~ Time ~PM '~'. ~1~ ~ ~. ~ ~~ ~ NO~: This f°~ to ~ ~ed in lieu of t~ C~E~ ~nt of ~lth ~es ~ Ci~, State, Zip ' · H~s W~te ~ifest. for NON-~R~US ~es ,~ Phone .~, ~ Signatur~f Authorize¢ ~ent or Driver .... ~~[~ ~ (Facili~ Operator Must Complete) "' . Quanti~: Received ~ ~ ¢4/ Bbls. Date City, State, Zip ~'~;~/~ ~ 0 ~ ,(--~ ~ ~ ~ ~ 7 DISPOSAL METHOD: ~ Surface Impoundment B Injection. Phone ~O~ ~'7-~7 (/~ ' - " ~ Landfill ~ Other -' / Disp. Ticket ¢ ~ b ~t~ "' '... ~e~ ~y To:. GENE~TOR UNLESS ~ERWISE SPECIFIED '.' '"--- r' ,-h ~ ( -'~"/' '~'/ V NO H~RDOUS FEES SHOULD BE LE~ED ................ DISPOSAL COPY ~,~o · ce~y that the ~il is being delivered to the Designated Facility in exactly the same condition as when received. TRAILER LIC. TRANSPORTATION FEES are payable u~n CleanSoils DRIVER / RECEIVER receipt of payment from clien~ge nerator. II, Tank No. ; ' . : '"'" · ,.. ~.-"~"- ~~ P.O. BOX 5295 ;~, 'BAKERSFIELD, CALiFORNIA 93388 .i.~ ~/Field or Area (805) 589-522~)' NO. ~..1. 7 4 7 7 NON-HAZARDOUSWASTE HAULERRECORD · TO BE USED FOR NON,HAZARDOUS WASTESONLY (Generator Must Complete) ' ., .~ .... .- ~!~!.:::~ · .... WASTE::[O;BE~J31SPOSED ~ . "' .':;' ' ~ Tyl::;e : .;~'~/~,//~:~~ ,'"'~4V/?"/"/)-~'/- '~,~"3.,' ~__.~' 1 Name /~//__z~,~'/~ /~,/~/h ,./.~/7~/..~_~ ~ /_~-7'~ Generating Location ~/2 ~~.~ Field Address ~/~ ~//~~ ~ ~ ~ ~ Special Ha~ling Instructions: ~~' ~' . ~'~4 '//~ ~ t / ~ ~~ ~ Gloves ~ Goggles ~ Other City, State, Zip Phone "~)~- ~/ Quantity / o ~ ~. Order Placed By ~ "/~ ~~~ / ~ DESIGNATED FACILITY Signatu~~ of Authorized Agent "~ Name ' ~~~~ ~ ~/ ..... / ..... ~-- ~-,,' ~-' .... ' T~. ' Address.' ~~ ~~~ ~. Date ~-' ,/ ~ · "; ~/ "~" City. state, Zip. ~~~. ~ . Title [ ~' /~ ' Phone ~~ ~ ~- ~ --~ ..... ~..,~--- (Hauler Must Complete) ' . . ~ Name ~ ~~~~ /~. Ticket ~: ~2 ~¢ -' Unit No. %-%g / .~-Address ~ ~ ~~ ~ Pick Up Date ~-/~¢ ~¢ Time ~ Ci~, State. Zip ~~~. ~ . ~~~ : NO~: ~ f~ to ~ ~ed in I~u of t~ C~l~mA ~t of ~th ~es ~ H~:'.W~te ~est for NON-~R~US w~tes ~Phone ~~' ~. ~~ " ........ - , ...,'.'";, ~ REMARKS: :..,.~.,,.¢ . ~ Signature of Authorized ~gent or~~ ~ ' ~¢~~/~ ~ ~ ~ ........ (Facility Operator Must Complete) ~ Quantity Received ~ 4. ~ Bbls. Date Name "' ~~~ ': :"~';~'~. ..~ . Address ~ '~ ~ ~C~'~ ~?,¢'~"~ % C/ ' ,-:'.' Time O PM . '::'~; '.;- ,~'j.. '.~ .' .;;:. , City, State, Zip ~,~-~ ~.~¢¢.,/:~ (~ ~ O 3 DISPOSAL METHOD: . O Surface Impoundment Phone "~0 t- ~¢. ~97~ / Disp. Ticket ¢ 00 [, ~ %*z/ B Landfill (O Other R~ ~ To: GENE~R UNLESS Signature of Authorized Agent , Date , ,~-- · i. ~ '~ J ' ~ ..... , ~,~ ' . ~(.. U.--~ NO~: It is not neces~w to 8e~ copy to ~pt. of Health ~i~s.. - ~ , NO H~R~US FEES SHOU~ BE LEVIED ~OnM Kvs.~-~o DISPOSAL COPY OYANIDE: ' - Tn~NsPoBTEB OE~IFIC~TION: ~ .OAD ~ ~ ~ TnUCK I aCknoWledge-receipt of the soil described a~ve 'and ,..' TRU~K Lic. # TRA~SPORTATiON~FEES am.payable u~n CleanSoils' ~ - receipt o~a~en~ from clienUgenerator. , DRIVER/' RECEIVER''~ ~ . .... : . .. ' . . .... -.. . .. - ? ., P.O. BOx 5295 ·BAKERSFIELD, CALIFORNIA 93388 .. V}/elI, TankNo. ~':' sso-s22o : , N°. ~~7479 iieldor Area .~ ~--,,'~- ](805) HAZARDOUS WASTE RECORD ' " NON-, 'HAULER TO'BE USED FOR NON,HAZARDOUS'WASTES;ONLY. ·. :, 3: ,. WA,~E TO J~E.DI,SPOSED .... ,... (Generator Must Complete) . , :.. _k, :Type ~..--.//r,,,/'Z~z~___.~¢~' _g"'¢:2~/'r~- ~/~ Name ,/,~//_.~ ~'//~ /~//~,/_~7/~/~ ~- 7'-/~ ~ Generating LoCation ~/,~_,,/~.~--~"Z' ~ ~ 1 Field Address '~'Z,//~(:::¢~' ,/~/_~..,-I, E_/~_.% /~(:~. "~ ' ~:~~~ ~_______.,~. · Special Handling Instructions: ' ?'~u//'Z.,(//¢~;~/ /~_____ [//'S~ ~ ¢ [] GloVeS [] Goggles [] Other City,PhoneState, Zip ~- /Z¢"~// -- //'.,¢r',¢~ ~' / Ouan{ity.. Order Placed By '~/'//j// /~,7'-/',4':~'./,,~"'"/~ .. ~ DESIGNATED FACILITY · · ' · Signature ¢f~Authorized ~gent - ':~," TM . ~: . , ~,._ , ,~,/- > ~¢.-- /,('/~ ,'¢2-./ /4'//> o ' :' Address "' ~'' / ~ '~ ~~/:~' ~' '"' -. -/ - /// ~ "/ City, Statol Zi"}~ ~/.~'~ :.~'~__~ . "~O Date z:- ~' Title '-~7.?. ,~ ~ Phone. "' L:~:::¢>~---. ~ ~ ~ ~:~--~(//'(...~ -(Hauler Must Complete) : "~ ~'- Ticket#:'3:13(OO''L- UnitNo. "7--f,} / f ~'~' Address /~---~ L~' -'~--~' ~ ¢="-- Pick Up Date 2' / ' 5c/'Time [].PM: ?--.-~ '~/~ ~'/'"/ /~' ~J ..-.--~_..-~ ~---,~/-~""~ . ,c~'5~~ ..,~,'~=. NOTE: This form to be used in lieu of the California Department of .Health ,~ Hazardous Waste Manifest for NON-HAZARDOUS wastes only. City, State, Zip Phone ~-'~ ~-~:~::'!"~ - ~ ~'~='(--) ~ REMARKS: Signatur ri eDt or Driver ' ' ~ ' Date _ ~.- /(_¢' 9 ("/ ~ ~ (Facility Operator Must Complete) Quantity ReCeived 9 -~' Z~ Bbls. Date ~ .... ,.. ::. Name .~ . .:-,.'::?(-~;:Time [] PM .. , :iP_~.~_~L, / "' j . ". ' · [] Landfill [] Other City, State, Zip ~-5 '-. .;,,: / d~:;.-__ f. I .~.~ O /?~ . DISPOSALMETHOD:,. [] Surface Impoundment. El' I~i~ Phone %O ~- '"~ c~ ?- ;;, ;2z./0 / Disp. Ticket # ,":"~ i? fq '1 . ' ' Retu~ C~oy To: O~#~R~?OR UNLESS OTH~R~I$E SPeCIFIeD ., ..>,.,,,, Signature of Authorized Agent . '":Z,.- .'-~/(.) Date. NO': ii'"S"~o' necessaw to se, copy to ~p,. of ~th ~,ces. . :..' .::.. '" , .'~X C"" ~: t¢'~,.,.~./' [I ' NO H~RmUS FEES SHOULD BE m~ED · I - · .....~., . ~STO~~~~~ ' · ~~~:....: . ~".: ., ': '..'". ~,~ ~ ~; u ~.~ 2123'PANAMA ROAD ~, -:-'~..::.--::' '.~~~~;'~~~,~:¢'.~,~'~:,.',.=': I ~ER'~FIELD 0A'9~307 .' ".':;' ';':~ ~'~~s~~~~, '.:~: ' .;",:'. ' PR~EOTt':':' · ~ ,.'J '~- ~I .-. · ~ ~ . . · , . . . ,, ~ ~A -..; ,~ .~ ~;..: ,' . ,. . . .,; ...... .) ;, ...~.,..-. . . · . . . -. ~ . 2123 PanamaHo,'...: ~.-..~.~'. .... · ... ,. ,-,.~:.~ .' ;:~::)'.~2~'' :'¢'"::--'"~:?~r~.::~'''~., ".'..~' '.':' "~.~':"-" .... :L:.""' ""' ~::'":?~ :'~%~i":~'~ ;.~.'8~'~.'L'~::'.f~'~:~?.'~;:.C:.:'.- lb~ SROSS ': ...... · 't~.;'."c · . ' .~...,,~. i., '~', .:.' .~ ; .... '4. :'-4..:.': r... "..-...,-' ,;: .,.;~.(~':~:;;;,..:~:: ~L~,... lbs TARE DEPUTY'.~r/MI~ '. ...... , '~ ........... ", ....... ~ ', . ~'," .......... -': ."' - .... "~' ~,'~ ' ...... :- '- ;..~,~.;~s~',~?~-~ ~-. ~:- -,. ;~s,~.:;.~-~.~,~;~-.~,;..~:~ ~-~,=.-,. =~-~-,::~...~.-.. :..=.:~--;'-, ,..,.~--. ...... ~::.:.-,~L:~T~ ~:?~,.~:,~;~ ~~,~ ~,.~-, ~,~(;~.~:-~.,~,.~,~,~:=. ~b~ NET ,'~;,t.,,l,:.C,~-,,~':.- -' - ' ' -. ~,, .s ;.- :'. ~' ." -'.,7:-~,,:...",~:~'-.~ '~.~ '.. ' · .' ..-;".. '. ' '.-'~S .... ¢'~&'~,'-~r'n, is '~Z? '. : ,"~ ;, t?~Z~,.tJ~'- .'¢r'.,~s'.~.'='-.'_%"~'.~m'.'- ...' .... ~,,,~.~,,,,~.~.-~ ...... .. ~.:. ........ ~....~?.. ?..,....~:.~'-_.-~:.::.~ ,~-:.,-.~.: '..:..~,~.r~-,', '.. -~ ' ;. ,...= ;,. .. ~;~ ~ -.~,,.,~..;~.~ ...... ,, r.: " ' ' ~ :'. : : -' "' .. .' SULFIDE, . .~.~, . . .... . .... . ..... :,..~..:.,,..~:,=,.~:.. · .. . . ~:..~-.~..~.. . :..~ .....~. '.. '- ~ '.' .,. ::,.:,:?,: .,.:-.: ::,~,:'.. ~:.,? :~?~:~'.-:..'-: CYANIDE: ~._, .... :'..' "".. ~,.] ' ' L · "' TRANSPORTER LOAD~ ~ / "' TRUOK~. ......... CERTIFICATION: i acknowledge receiPt of the soil described a~ve and TRUGK LIG. ce,'~Y that the soil is being ~elivered to' the~Designated " same __ Facili~ in exactly'the. ' cond~i0n as when received. "... ,' TRANSPOflTAT!O~ FEES are payable u~n C!eanSoils'~ ;:, . ' :'~' DRIVER/RECEIVER ~~~-' receipt of payment from cli¢~efier~"':' ~:,f'~. ~" ~' .' " '. :-: . f.: .' :. ":'..~.-~'- ~ ' C' :'..:..' ~ -~' ' -"t"~'~::'.,: '/~ .' -.' ... ' Date o~er '.~,~- . :: ..... '~Vell, Tank No. ~ P.O. BOX 5295 BAKERSFIELD. CAUFORNIA 933;'8' "; '.~ ~ .~-~ .'~' Field or Area ' : , (805) 589-5220 "' N.O 1 1 7 4 7 8 :' NON'HAZARDOUS WASTEHAuLERRECORD TO BE USED FOR NON;HAZARDOUS WAS~SONLY ,, ~ (Generator ~t Complete) ~.~.'"';~ · - WASTE TO BE DISPOSED Type ~/~~./ N~m~ /~/~/~ /~/~~~ ~-/'~ ~e~at~g'~o~tion ~/~ Field Address ~Z/~ ~~ ~. Special Handling Instructions: City, State, Zip ~X~/ ~'~' f/~~ ~ . B Gloves: .; B Goggles B Other Phone ~~-- ~ / -- ~ / ':" Quantity Order Placed By ~/~ /-/~~ / / ~/// DESIGNATED FACILITY Signature of Authorized Agent ? ~ Name ~~/~/~ Ti'tie ~)' ¢ ~! ' Phon~ ~~- ~st Complete) ,. ..~'-.. ". -- ~ , ': Ticket -' '"~2" ~ ~ ~ Unit No. ~ / Name /~/~ ~X'~~/~/ ~ ~ Address ~' ~¢ %~ ~ Pick Up Date ~'/~ ' ~: me ' ' B PM '~) City, State, Zip ~~~- ~ . O~~ " NO~: ~is form to ~ used in lieu of t~ C¢ifomb ~nt of ~h ~es · ~ Haza~ous W~te Manifest for NON-H~R~US wastes only. ~ Phone ~ %.- ~O · ¢ ~ O REMARKS: " ' ~ Signature 6fxAuthorized Agen~r Drive~7 ~ ~ /~ '- ~ Date"-. ~- /~ ~ erator MSt Complete) .. , · Quant ty Re'celled'' ~'LI- ~ ~ Bbls. Date Name [' ~ · ' '. : .~.:.:': ': . : ,.,. :.;. .: ", Address % ~ f~ ~ ~, ~,,~], ~ '":; ' ':" '.':: '" ;":Time ~ PM --, ' . . .. ':.:.~ .;~. City, State, Zip ~,o.~ ~0 cJ: ~.~.~ (;) ~ ~ ~ DISPOSAL. METHOD: U Surface Impoundment U Injection Phone ~'d~ ~l ~-~7//~ / Disp. Ticket ¢ (~ O ~/ U* ~ Q Landfill B Other Re~ ~y To: ': GENE~TOR UNLESS O~ERWISE SPEClR~ Signature of ~uthorized~ Agent ,~ Date . ~.. ' .~[,. (~:~,.~(-;....,~ /~ ,/ NO~: lt is not necessa~ to send copy to ~pt. of He,th~ices. .... NO HAiR,US FEES SHOULD BE LE~ED :OPM KVS-T-20 DISPOSAL COPY /~'?-~.-~ ~'~..-::~;~.~..v~::::.;~:' ~.~.'~ ~::: :~:~'~ ~ ~,'~:~.:~ ~,~,.(~:~:~:',~:~:.:: ~ ".:'.:~ :'?~.' ~*~.~'1.~ ! C1 ~/ · ./o~ ~'Q~"O~':~t~::~'~.:::,: "~ :~,'.; ;:,. 7~.~'; ....... ~ · ~-~-'~;'¢=~?"~:.~.'7 ",~? ~-"r;~'~ ~-,'~ ."" 'F~'~t' ~.<~.-"-:'~;~.~;~? :..:':~:..~ .: :-.. · : .... : .... '.:" . '".~':'~:~r;~:'';." ';::h' '"' '"' '": ':~:':'''".' ":';¢~:'': ':' ::';~:f;'~:'7;';. ':' ": ':''' .'¢?~ ;~.~';~';": "" "'" :"' "~ ': .... '~f~'~:~;~',~'~ ".e ~" '; WEIGHED AT:'"?.~:~:'~'-?'? '. ' ' ' .'. ':: :" '~ :.¥;-: '.: '::.;'.~.':~'.~: :-'::.:::; :~.." ":".' ':.,::?'.;~:'".';:~:~:~:' :.. ' · .:' :-.':: :~:~::;.:.:~-:.~:~.:~:~::~:"~;:~'. · .. ..::: . .... : . , ~. ;,~..:'... .: CYANIDE: ' ' " ' :" ""' ' '"":'": ':'' ~ ':Z" · "'"'" ': ":""""':":' :: ' '"" LOAD# ~'~ :.;:,':..~TRUCK~ ' TRANSPORTER CERTIFICATION: -.L. . :.' '::. · . . .,. ; ,:..;:..?:..~....:.: ~. : . .... . . .~. . . .:: : ..- . & .... ~ :. .~ .: - wi d e recei toftheso~eescroeo a~ve anu ..'~ ..: ..... · ":'~UCKLIC ~ ~';P'c-[~'~-" ~ ackno e g p ......... ....... .. ~..:.-.~. ...... .:~...:,.-~.-,... · ...... . . ce~ that' the ~'il'is: bein~ de ivered to the Designated '.'~. ~' -' ".' ~;- ~ ': · ..-' ..¥~ ...... '. ~ ~, · ..... : . ..: . ._~ , , . ~ ,:. ~' .[- ~/' . [acil~ in exa~lY thesamo cond~ion as when r~?,v~.'. .. '- ..... 'IRAILER LIC. ~ ~ ~ [ .... ~ ~T~(~ ~ receipt oI p~yment ~rom c~enu~enerq~r. /- 7 ~ _ ,.~ . . ' .~ . . ~ . . .' . , ,Well, Tank No. ; ,,~, ,~ P.O. BOX 5w295 · BAKERSFIELD, CAUFORNIA 93388 . ~'ield' or Area '"' ' \ (805) 589-5220. NON-HAZARDOUS'. WASTE HAULER RECORD TO BE USED FOR NON-H ARDOUS WAS SONLY ~: (Generator Must Complete):'.. .; ;.:.::.,.. ?;~' "WASTE TO. BEDISPOSED Field ~~ ~~ ~ ~_ '~ Ha~ling Instructions: Address Special City, State, Zip ~~ ~// ~. t/~ ~ ~ ' ~ GI°ves ' ~ Goggles ~ Other Order Placed By 7/~ /~ ~/// //~/ ~ DESIGNATED FACILITY /, ~'- -~ ...... Address / (Hauler Must Complete) Ticket ~ ~/~~ UnitNo.~~ / ,~', Address " ~ City, State, Zip H~a~ous Wa~e Manifest for NON-~R~US w~tes ~ Phone REMARKS: :' ~ Signature o thorized~qent or Driver '" ~ (Facility Operator Must Complete) .. '~: '':..' QuantitY'R~;i~;d :~;~"'~ Lira ~ Bbls. Date City, State, Zip ~c~.~..t ~/ d.'c~ ~ ~ O ? - DISPOSAL METHOD: D Surface Impoundment ~ Injection Re~ ~y To: GENE~TOR UN.SS ~E~E SPECI~ED ' Signature of Authorized Agent - Date NO~: It is not necessary to se~ copy to ~pt. of ~alth ~i~s: ',' -' , z.. z .... ; ~ '~;'J-- -/ NO ~RDOUS FEES SHOULD BE ~ED ~IRPORAI_ COP~ CYANIDE: ~ TRANSPORTER CERTIFICATION: LOAD ~ '} ~ TRUGK~." 7-t' ~''/~N I acknowledge receipt of the soil described above and :.:..:: t ..... .-~'.:", TRUCK LIO. ~ t., Facility in exactly the same condition as When received: .... '" TRAILER'DO. ~" ': ~ :' '/'::~ ~ .~: ' TRANSPORTATI~ FEE5 ar~ payable u~n OleanSoilS ' ' receipt of pay~rom clien~enerator.... DRIVER / RECEIVER :, ~¥Vell, Tan~' No. ~ -,,L--,- P.O. BOX 5295 ·. BAKERSFIE..L!~.., CAUFORNIA .:~ieldor Area .,;';"' . N? 117470 . NON HAZARDOUSi. WASTE"HAULERd~'CoRD 'TO Bi= USED' FOR NON-HAZARDOUS'WASTES,ONLY" ~~ ~! · ~ %' ~ ~:' ..... (Generator Must Complete)' . .:.. .... '..:'A .:!,~.. ' Type'WASTE:TQ.,,~'/~BE'DISPOSED~,~__,A-G.~?,~ ~'""~. ~ Name _ ~/~ /~~/~ ~?'/"~ ~ Generating Location ~/~=~/~' /,,~,~'~-,~- ~. Field Address ~ ~ ~2;/~'~ /~. Special Handling Instructions: ~~'"~ ~ ' City, State, Zip ~~~ -~ ~~~ ~ ~ Gloves ~ Goggles ~ Other Phone ~~- ~/- ~/ Quantity /~ ~' ~ - Order Placed By ~/~ ~%/~ ~~ ~ DESIGNATED FACILITY Signat~e of Authorized Agent ~ Name ~~~/~ ~ ~ · //.. . .... ~ Address ~/Z~ ~~ Ba~ ' -~ - ~/. - ~'/ City, state, zip ~~~' ~' Title ~" ~. ~;~ Phone ~' ~ ~- ~ Ha , rM st omp, t ick t r' '':" IITZ Un tNo. Name ~/~ ~ ~~o~Z~/~~, f~. Address ~ ~ ~ ~ ~ Pick Up Date ~. /~ /O~~ ~A~ , ~ Time ~ p~ City, State, Zip ~~~. ~ . -~~ NO~: This form to be ~ed in I~ of t~ C~ifom~ ~nt of ~alth ~es H~a~s W~e ~nifest for NON-~US w~tes on~. Phone ~' ~' ~ ~ REMARKS: . : ~ , ,Signature o~ ~horized Agent or Driver ~"~ C~~/~'~ ~ ~"- ~/ ~ (Facili~ Operator Must Complete) ' ~' QuantitY ReCeiVed ' ~ ,~, ~j- Bbls. Date .:' ~'. Name ~ ~ ' . ~ AU Address '~ ~ q ~ ). ...~? ~:~ .. Time ~ PM City, Stat~, Zip '?~ .~, ~_~0~, ,.' ~ 2~ ~ ~18P08~[ ~T~O~: ' ~ 8urfac~ Impoundment ~ Injection Phone ,., i ? - ~ 0 / Disp. Ticket ~ db 0 b ~ ~P~ · ~ Landfill ~ Otk~r . Re~ ~y To: GENE~TOR UNLESS ~ERWI~ SPECImED Signature of Authorized Agent /~ ~) ~ Date · · ~ ,,h ~ ~_~ NO~: It is not necessa~ to se~ copy to ~pt. of ~th ~es, ~_... ~ ~ ',, ~ h (" ~ NO H~R~US FEES SHQULD BE LE~ED ~,~ ,. ..... ~o DIRP~RAL COPY ~ Pan,ma ~d. ' .... "'"'"' ~":'"' ..... ".'~.' ...... '"' ' :-:. ~'".-"" CYANIDE: TRANSPORTER CERTIFICATION::,'~ LOAD ~ ]~ ~ TRucK~ .... ' '~'~-:':;:~':::''' "':::'" ' ' '" receipt of p~yment from clien~gene rator. D~e · .;:: .;;.: .' NON~HAZARDOUSi~.WASTE~HAULERRECoRD N.° 1 · TO' BE US£D FOR NoN-HAZARDOUSWASTES, ONLY Must Complete) -. ~ust Complete) ~. ;- ' Address ~ ~ ~~ ~ Pick UpDate'~ ~ ~M Phone ~~ ~~- ~~O Hazards W~te ~nifest for NON-H~R~US wastes only. Si~e of Authorized Agent or Driver ....... ~~~~/~ Date ~ erator Must Complete) Name ~ ~~ ~, ~5 Quantity Recbived ~,~ Bbls. Date ~C ~ AM ~ ' DISPOSAL METHOD: ~ ,Surface Impoundment ~ injection Signature(..~, of Authorized.Agent~ ... ~,~ ?~ /~¢ Date NO ~R~US FEES SHOU~ BE LE~ED DISPOSAL COPY .. :).' . . , . .~:.' ~_: . .. ~:~.,....,;.,..: .',~. , '.~ -- , ,. ~:-,'; ' ,, .,' ..... ' ~.~H,t~-rm c~'ru~,*~' '" · ·: ~VO ,.'.ftl~lla4 ".:' :'~. · '-~, '.'~ .. ' ':.'-~TO~~~~~ ' ~i.':.~.~'. ". ':'' ~1~~11~:'- :' , · -'.-:-.'.:~.?': ~~,'~,~~"~~,.... -;'. "2123.' ~ANAM5 R~D.:.: :t': '~: :'?.~: ?~.~ ~:.:~:..~..~..~.~L~:~.~:~`:..:~?~¥;.f.~?~.;?~~f~`t~::~:~ BAKERSFIELD, CA'93307. "' ;''" ' ' '";': :: ~~s~am~~ .' .... i. -, 805 397 27 0.~ .......... ....... .:. .... ...,,. ........ '----.,~t~. .... ~ ........ ,-'- ............... ' .... ;. ...' ''-, .... ~~ ~;~ .t:.; .... .: '~;t;..-~,...., .... : - ",.~: ¢~''r" ';-'~;":':;~t;-~='~'*f~' '~, ~,~';: ':~ ~'~, '; '-; WEiG~'AT:''.:. ?"':: ...~"-" - ~:- -":"- ::.. '?..'t:[' .- ':."~.."~ '...::~.t~ . : ..<:'.::: -.:.:'.'-':'~'""~'":""':'t~"t~L'L~::'"'":"'"',,-...?. :-'" ~:~L:~,;~ ...... .... 2~23 Panama Rd.'.-~:,--.. ' ~ :.:'~-":'~ ' :.~ ..... Bakersfield, cA 93307 ' :- - '. ' ' . . . . DEPUTY ...................... - .................... · .......... ' t,,--'- ,-'-~.,-':',:' ~ ...-::~-, :. :...-.--. ~..'.":; ~: .,~,~.,~.: ....... ',.,: .',-'~. :,- .' _.~ . ' .:-:~.-:,,. '~' :' .- ".-:' ': '-' "' ~, ': ' ' .'.' ':::' ~::" ' '-":: :'<:<:~-'.'::' '" ."~:. : .,, -> ";,:'.'. '"'::', :'-:' '::,,Jr'"'~ ~..'~': : .'.'.: :':,.'.:":~:-~.~::.'~-, ' · -.'. :~:.-. '.~ ".' ',-,:::'. - :-". '.'~-.-.::-.: -"~ :." '. 4~? .LB.'. :'.:":,"-':.:::..:.'.: .." ':-:-:::':-': :',.-:.' SCREENING RESULTS: ".'"'::' ' ' -. : ~ ' (~;.~ . -."":--~:'-':".,-' : "-' ~:':':".~::~,::":: ':'"':':-"'.;:'::,:':::~':" ." . : - '-...: ---.' .... -: SULFIDE' .,~: CYANIDE: TRANSPORTER cERTIFICATION: LOAD ~ )J ~ TRUOK J '~: '1 acknowledge receipt ol the soil described above and TRUOK'LiO. # ~ D Z ~ ~ ~..':'~'. . -......: ...:ty~; - .:.. ceMNy' that the soil is being deliv~'fed tb the' DeSignated - ._., :.. Facility in exa~ly't~he'S~me condRi°n as when received. T~AILER tlO. TRANSPORTATION FEES are payable u~n OleanSoils receipt of ~t tr~ clienFgenerator: . DRIVER / RECEIVER ~:.:.:.:~,:,:-:,,~,.:.::~::L:.-' '...-'.: =' .......... .... ~:.:~.: ..... ,:.: ............... :~__.:~._ ,, ,. ........................................................... Well, 1-ank No.' : P.O. BOX 5295 · BAKERSFIELD; cAUFORNIA"93388' :.-~ : _ . ...... '::;: .: :... '" .......... ' " :N°. 117482 Fiel8 dr Area (805) 589-5220: ":"" · :.:-.. ~ NON.HAZARDOUS!WAST, EHAULERRECORD TO BE USED FOR NON;;H~RDOUS-WASTES ONLY-~''' (Generator Must Complete) ' .' %'::' .'..- ' WASTE TO BE,DISPOSED _. _-,-. Name /,f //~,,//( /,/~,~ /,¢ /~/./~ ~.~. ~ ~. ~. .~ .' ~ .. . ~w/~ GeneratingLoCation ~--~/ Z . ,~¢~ ~-~. "'" 1 Field ~,~_¢/~ ~ /,/~~ ,,~ /.~. .1~ ~ . ... ~__.¢,,~,~,~..~.~. Address '. ~pecial Hailing ~ns~ruc~io~: Ci~, State, Zip ~~~~ ~ (/~ ~ ~. ....... ~' B'. GiOves~.:;.. ~ Goggles~ Other '. Phone., ~/' ~O/~ ~~/ ... Quanti~~0 ~' Order Placed By ~ ~ ~~7/~ .~/ ~~~ ~ DESIGNATED FACILITY '. Signature of Authorized Agent Name ~~/~ ~ ~ ~, ~, ~',." ~-.~ ,-,, - ' Address ~/~ ~~~ Date :' ' ~'- "''~ City, State, Zip. ~~' Title '~'~ · ~ / Phone ' ~~' - ~0 ~ H.u,~.Mu.,Com,,~t., T,o~t, .3~/'~ ~0 ~ U.,,No. 7/3, F' 7 7:~ ~ Name ~~ ~~~~~~ ~' ..'' ~¢ ~ ~~ ~~~ PickUPDate ~%- [~ ' ~¢Time ~-. Address ~ ~~~ ~ ~~~ NO~: This fo~ to ~ US~ in 'li~ of t~ Califom~ ~nt of ~alth ~i¢e8 .. ~ City, State, Zip Haza~ous ~te ~ifest for NON-~R~US w~tes only, " ,. ~ Phone ~~ ~~ -' ~'~0 ~' REMARKS: ....... ¢ :,--. .. ...... ._ ~~ Signature"~f Authorize/Agent or Driver ~ . , . ;:;:., ...:~.:::..'~: .. ~ v' ~sme ~ ~ ' ' ' ' "' "::": ~ ~ ' , '. ~.Time B~ ci~, state, Zip ¢~ ~~ :~, Cc> q ~'%.~ ? .' ' .. ~sPosA~ METHOB:" B Surface ~mpoundment. .... ~hone ~O: '::':;~ 7-~.pLI 0 / Disp. Ticket ~ ~ ~ ~'~:~ ~ '" :: '. B Landfill B Other Signature.of Authorized Agent , Date ...... :': ~ ~ / )~ . ? NO~: It"is not necessary to se~ copy to ~pt. of Health ~rvices. ' r: ._. , NO H~R~US FEES SHOULD BE LEVIED ': '.' ............... DISPOSAL COPY ~,.o" · = :: L~ > .4.2' · . ,. '.. THISiSTOCERT~'YIhliH~elailowingdescm'l~ldcomi'n(x~ · '~,A~"'A~'i2:i,'k'~ ~2'~'~ ' "-~2: ~)~qM~ l~}d~Sd~~ ,. L.::: ~: :;' .'" . uA.~.~ :..'.~?'l.v ,~.- -- .. ,~ ..... · ,:; ...,... ,.., . ,--.~, ..., :_,~ .,,,., · .. ,. ;:.~-p.~..:~.--.: .... ~,,. ..... . , · ,?~:-? ~, ~ .? :~....: ~: :.. ~ . ~: ..~;~::.?:/:~;,~:::, ~ . ,.~:.,,~,~:,~.~.~.~,. · 7'--.,: ;:-:~) 'O~l,'~l.~ ~.'.'.: ' ':. :-," .- ~-" ','"' ~", ,' ;'" ...... · '" · · ~. ~:~;~;:~;:~(~:".~ ~? ~,'~.~g~.~ ] / :;/':' ' '::?{(~:.: ~: ~}~!Q',.g~?', ~'~.]~'(~ ~; ? ~',~,;: , . ;,L ,~'~:,',-., F ~,:~..'; <.:,~:-:,~ :?;~j;,, .' '~, "' · ' :' ,~- ' · 0~.~.~ ~ ~~¢~~,; }:~~~.~ ~., '~;~..~: ::.; ~ ;~... ~..... ~.~. r'" ... ........ ,4,.;,'; ' ~, ".4'..,: .... · ". -':" -:';i-: : ~." ' . . '~/ ' -: .: ' ' ' .' :",' .' ;,J ','":~-~ ."~)J<'.;';:."-'~;-;'.''." ' I acknowiedge_. _ _ _ _ ,..._ receiPt °f the soil described ~ve and ce:d~y-that the.Soil]S bbing delivered t° the Designated: · . 'FaCili~;.in~l~'ih~same Cond~i°n ~SWhen receiVed. ' .: :, '..' ':TRAILER LIC:#'-~::;'~/""~:¥': ~f'~ Y.""~'" "' TRANSPORTATION FEES are payable U~n'CleanSoils :..: DRivER/:R'EOEiV-ER receipt 0f pa~ent"f~°m'clien~g~nerat~ ' ' ~ ~' , ,.' . , ~,.-' : '~, .L:~..~ · ~ - ~. Facili~ in exactly the same Cond~ion as When received. TRANSP~TATION FEES are payable u~n CleanSoils · ' receipt o[payment fro~ cl'en~generator. · ~iweiil Tan~"~o.~''' P.O. BOX 5295 ';. BAKERSFIELD, CAUFORNIA 93388 '. Field or'Area ~ ~.. (805) ?:S220 ~: :.~:~ N.° 1 1 7 4 8 0 ~-~'~: ?"' "" ' ~ ~"~;": NON'HAZARDO'~~EH~-LE~';~E~RD· :: ~'(Generator Must ~mplete):. ';':;, ~.~'~r.,...:: ....... ~'."~ ~:' '. ~- . WAS~TO~DISPOSED / __ ' ~Field Address /~5~~_ __ ~7~. .~ Generati~ Eomtion .~ -,.. ~/Z. ~~~ ~ · ~pecia~ ~a~ling tns~rucdons: ' ' City, State, Zip .. ~~"~~ ~"~' ~/~ ~ ~ ~ ~. ~lovoS;. ::. :~ Goggles ~ Other Phone ~~- ~/-- ~ ~ / . Quanti~ ' /~ ~' ,~' Order Placed By ~' ~ ~~ / "~ DESIGN~IED.F~ClUTY Date ' City, State, Zip · Title C.: . ~_. ~'~ . Phone ~~' ~ 7- (Hauler Must Complete) Ticket ~ ~ ~ ~ ~ ~ Unit ~o. Name ~~ 7~,~~ ~~ ~ /~ ~ . Address /~ ~ff ~~ ~ ~: Pick Up Date ~-/G'~ Time /.'O'O ~PM , City, State, Zip ~~~ ~ ~~ ~' NO~: ~is fo~ to be ~ed in lieu of t~ CalEom~ ~d~nt of ~alth ~ices ' Haza~s W~te M~ifest for NON-~US wastes only. Phone ~~' ~ ~ ~ ~~ ~ REMARKS:: ..~.~- , S~gn riz gent or Dri -G~ " ~~X~/( ~ ~ '" Date ~' .,~ ~F~i~rator Must Complete) ... Quantity. Received ' O ~ · ~;~, ~-- Bbls/Date Name (" g ~ ~-~-~ '~ .'. .'..: . ...... . .:" -~. ~ AM Address :")- X 3 '~ ~"~ ~r., .-.,,,~ ,.._.~ ¢. d ."' :':' ' :" 'Time D P~ City, State, Zi¢ '~:~ , DIS¢OS~k MfilHOD: ~ Surfaco ImpounOmont ~ Injoction Phone gO3- ; ~7-~z/¢ / Disp. Ticket ~ ()0 I~ ~ Sf'~ .-...'(.~:'. :;'.' D Landfill ~ Other'. Re~ c~y To: · G~N~TOR UNLESS O~RW~s~ SpEciR~D Signature of Authorized Agent .:;_/, , Date '..,' · - ~ ,. i,, , t ' '7/.~ NOTE: It'~S 'not necessary to se~ copy to ~Pt. of ~ealth ~rvices. ( ~ * ..... ( ~ ~' '.~-~- ~ ~ NO HAZARDOUS FEES SHOULD BE LEVIED ,o,. xvs-~-,o DISPOSAl_ COPY ' '- ' TH rne~umd or munmcl ~ "we~ , ~~~...~.,~ ...... ,'~,~ oL~.,~,-. ~~"%~, .-.. .~:.. .... , ~., · .~]: ~,~ .,: ~.. ~- ~.-~ .~, '....; ,~ . . ~ ~ .~,~-~ ~ ..... · .. : -'~.".~.,. = .... .-.;.:. . · · . ~ ~~~ "- . -" '.', ~ ~r . ~:*~'.'":"::~':'~' ....... ~'*- :' '."" ~~~ ~ "':" ' · "' ECT~ "'/'~- -- ·. . AMA ROAD .., .... · . . .... ~~ ~ . .PR~ -. 123~AN ... .... . ..... · ~s~..~ .............. . ..... ~. ..... · ~' 2~I~LD,:CA. ~3307..,.:...-,:.~-;;~:~¢~.?;:.' ~~~:.: :;f;~;~,~;~:~-:~, ~;~,,~:~,~: ~-;:'... 4" ·" .. ":.' .'~ :."4 ~-~ ?~?t~'. --~ -~,",~-'~.', -',.-~"'~. ' ' ~.~*-; . :.-'-;'~'~ ': r:" -~;;~,;"~r ' - -./..~ '-'-';'G;~' '~-*'-,,/:' .,I.~ ~:~.~t~, ~' ;'FT,:'~ ~' .' · ' : ,-~,~tz ' 7-2740 -~.~ :' "- : ::. '~ ..... ..." ...... ': ...~'. '.-.~;:'.:. ;.~;.~',':,:,?:,;-:,~,...,.'-:..~.:.~:.'.~.~-~':~'.".:. . c~MODRY.' ' '.".~,~,,(805) 3g ..... ..; ..- ...... -...:.... - ....... ~ .... ,..~,.~...,~,?.:,, ~.~ ...... ~,.~ ...,.~.,,.¥,,,,.,-? :,~ ., ..~ ......-,,, :: ........... · · .. ....'~:;;'~.~.,.~.~ ~,,,-:~;-~;:.,..~.s~:~:.~.;-;-? ...-- .....-. .... :.: :.... ,~,.::,.. ~..'?-.~:?~.,,,~':~.~..~?,,,,.~:,~. :,.,,,~;::~,..-~'~:.t;;~.~..~?;L~:;~;;.~".';'"., · ... ::.~.:...:.;.~4.. ' 2~ 23 ~an~ '. ........ ,.,.-,..-.~'...'.:'-,.'.' :': :':,.,,'¢,:..',: .... ',~?',-;.~ ,,:;, :.;-~:;?;.~.~; ;~ ~:.~/,;:~::2~t~4'; t ~. 5; .....-;-,:~,, .. ~,;.~ · '~a;~;,~; ~,~7 :;'~.":"' '.' '-.'~ ':~::':" ':." :'::,/"':~,: ':'::'. ;?.. ~,:'? ,:.~. ;,.~,~-'.:,' :.7~ L~ '~.b,~.~ .~.. . ~. ~. ;'~-. , .. · . . '., · :' ":': .,,,~''';.'.-;~.:;'::, .;: '.tW ::.~ ' · . -." "." ' ' '"' ~. ::: ;~.'~:;_~.:'?:~;'..: ':?.~;;.:;:.: ;.:-..;-...'- ':: ' :fL..':': '._..,~ "~ .;'.. : -..'..::.~"~.~'~?:::'~",':~.~';.2~t~;~4. !4:~ .. ~-"..'.'-:~:~.:. · IbsTARE .'.','.::,.:;.-~%~:~:::~:::~.'.:::?? .:. '..:~'~ ..... ' ' .'~;.'":~.t::'/.."...~:,:-...: ,,'~:.747~o L~ :~:'..'.'":","..:: ' ... ~.DEP .. ...... ~ '. ,./ ...... . ' -.. · .....r-~.~ .-.. ?:6~SS · . · · ' ': . i..r~~ .'..,,.. ',:-:...:.~. ',:..,..?~.::~.:?...~?~:~;':~ .~....: :::.. , ~:..~ .,-,: r~,-. :,:.:,. ·..- :::,,,~ .. '"':~;~""~.;":"~:~'~.~?~'" '"' ""~"~'~'~'~;'~' ' "':~'.~"': '"~" ~' "'~' '~'~'"~'"~:~'"~ ':'~:;' '"'; ' ..... : : "'; "'":"" ' ' :-"'"'-".: NS '.~.. ~'"'.:~.,;~s:-~.~, ~,~. '~ "' ', :.~,~,~-~- .~.;'.~z, ,.,~..':.,-, , ..;...s~r~ ~.~.'~,,-~., ....... ~m-. ':.~: , .,.. - ' , -. ..... ,:~, ';.' ~ .' ...: .... -:-. IhS TO I .s~ .... ,,~.,~...~ .... - ....... -~'..~,.-.- .,'. ,..... ...,...-.~?:~ .: '. ~:,-::~)~;.- ~. ,. ,, . ,: - . ..:. . .. ~'...~.~'~.-, ,., ~, ~,.~.~.~,~,., .'-,. -,L,.~.- : .: :.., ~.~ .;..,, ~.....-'~,,?.~;~:: ..... ~,:.',',:~,~;~,~,~),-.,. . , .. ,~,..., :.,.. ,. . ~. . . "~ , , ~ ; , .~, . ' , ..', . . . ............... :...... : .,..:,,....~.....,, ..... . ,~.:., .,......~.~.::_~:~. , :, .. , , ,. ,. ~"~H. ~'"' ..... ..-.., ";m: . :- .', '.:, , -.:',~': ,'' -,' :'-~. -,. ', .... ..-: ~-f:. ;,r: , , .' ' · . -'- . .' ." , ' - I'.,..~'~,ib..,,~:;.~' :~, :....;..:?,~. ': '.-:'.','-:.-~:..~::-:-.:~:r%'.':.,~'.:,??:/:':.~,'-."." '"'..,:'~..'~ .~'" .... .:' ~ CYAN · · ' ' ~ ' : · - · ,,, . .' · . _ .... L . ~ ~.-- ,. . .. ,. . .' I.'T~A~spO~T~ C~IF~C~T~:__.,._~ ~ve ~.d ""~ ' ' T~UCK UC.~- ~.~:.~! ac~ow~edge .... ...P-'-:-- ~.,iVered to the Oes~gn~te~- . .:'..:~; .'.-,-"'..,, : .T~NLER LIO. ~ '. e~ that t~e ~tl.IS . Y · :; '"" n reoelveo :',:...' '-~:-' :.":. '...-.'. · - · .--C .... Y,... :. ion as whe .... -.-...:.......:....~...... . ~_- ~:::.Facili~,n 'exact!y,~..~-C~:i~a~able u~n cleanSods;:::?:';:' .':::':?:-':.':.':.DRIVER/ RECEIVER :.. .~ · · ~' ".~A~SPORTATI°~° ?]~e~e~tor '" ": '"' '""":"?'::":'"':' ::~:~:::'" :'?~:: ':~:::':'' ":: ::'''' ': .:.:4 ':... .. '.-'. . ' · · .' [ .:~.reCeipt Of paymept t~m.ciienvg · · ': :':-,.:..:..L'.',:.:':'/":..;:...- : "--. ". ' "' ...... :.::. :~:::: ::....'~:.::,:... ::,:.:.:::. :.: .:,:..~:. :. ~:: ,: :.,.:: :::: :.,:..:'~:. ~:~,, :~: ,~ :...,:..-. ~.' .-...:.. r. :: :::.~ :: .. ::' ~:...-?-:~'~',? :.'~:' ,,. :.-.," .... - .... m,'BE USED'FORNON RDOUS:WA SONLY . , DESIGNATED FACILITY Signature of Authorized Agent ' Name -~ ~'~ ~. ..... Address (Hauler Must Complete) Address ~ ~~ ~ ~~ ~ :' NO~: This fo~ to ~ used in lieu of t~ Califom~ ~nt of Health ~ices City, State, Zip Hazardous W~te ~ifest for NON-H~R~US wastes only. Signature o[ ~orized Agen~ or Driver ~-'. (Facility Operator Must Complete) Quantity Received ~ ~, ~ Bbls. Date City, State, Zip ~/.".'~ ~,..¢) ~/ Cc-~ ~ ~ ~ ~ .. DISPOSAL METHOD: ~ Surface Impoundment ~ ~ I~jection Ream C~y To~ GENE~TOR UN.SS ~ERWISE SPECIFIED Signature of Authorized Agent '"~. Date ..? ..-. : ~ ?, k__/¥ /.,~.~ . NO H~R~US FEES SHOULD BE LE~ED ~'CRE~NING ~ESULTS: ~ NET I acknoWledge 'receipt of the Soil described a~ve and.' ~., ':~'. ., ce~'~ that the soil' is being delivered to the DeSignated ' TRUCK LIC. ~ .~>.~ {2. ',;; .~' ''''/'~ Facil~ in exactly the same condition as when received. TRAILER LIC. TRANSPORTATION FEES are payable u~n CleanSoils DRIVER / RECEIVER receipt 9~yment from clien~generator. · P.O. BOX 5295 · BAKERSFIE~, CAUFORN~ 93388 -. ".'... Field,or Area "' .... 7'= ., (805) 589:5220 " ' '- .' TO BE USED FOR NON:N RDOUS.WAS S.ONLY Generating Location . Field Address ~¢~¢ Z ~¢~ ¢~ ~ Special Handling Instructions: ~~' City, State, Zip ~~ ~/ ~' ~. I/~~ ~ D Gloves.' ~ Goggles D Other Order Placed By ~ ?// .~/¢~/~ ~/~/ Quantity Signature of Authorized Agent " '- ~ DESIGNATED FACILITY · , ." " : 'Address ~/~ r~ Phone - ust Complete) ~¢ ~ Pick Up Date ~-/~- City, State, Zip ~~~' ~' ~~ NO~: This form to be used in lieu of the California ~padment of Health ~es Phone ~' ~ '" ~~O ~. Haza~ous Waste Manifest for NON-H~ARDOUS wastes only. ~: REMARKS: Signat~Authorized~en[j or Driver ~-:' ~ Date ~ perator Must Complete) : ":':' >": ~ QuantitY' ReceiVed / Name, ,~.. '~=~.~ .. Bbls. Date Address ~;" '~'- ~ % '-~*'" ,' ~ ~ Time ~ PM City, State, Zip ~ ...:~.~.~ ~'_~,~ ~ ~ , E d:.~ (':.~ ~ ~ ~ ~ DISPOSAL METHOD: ~ Surface Impoundment Phone '~(~-'~.'i 7- '~ ~ ~ / Disp. Ticket ·...Oq] i.,~, ~:i ~ ' ~ Landfill ~ Other Signature of Authorized Agent -~[~ Date Re~ C~y ~0:'.. GENERATOR UNLESS O~ERWISE SPECIFIED .... ~, ' ~ ~(.,.._?,__? // NO~: It i's not necessary to send copy to Dept. of Health Services. NO HAZARDOUS FEES ,':;MOULD BE LEVIED ,ROSS SULFIDE: '::~'/':~'. '" %:.'.'~ · .?' ':>':'-'~:::'~ -- '.. ....... :: ..... ~,'-" .:~,'~,':~"-':~ :..' ." ': ~":-~:,:~ ".-' ,~-.. ,".'"': · ,~n ~ ' I . . TRUCK ~ ~. ~ ". ': ~ ....... "~;~'~:~fz~'"'~?~"'""~:'~'~':';~ ~=u~ ,,~ ~-- ---;"c'~"~ ~ nnn ~'.~ x~'~,~-'::'· ~: -. ..... . _ .- "'-/Hu~ ~;.w_ - :':" '""" '* "eYeCei tofthe.sod.d _ ......... ~ _ ,~ . ..' . - ' ,":.~ .... '. to the ues~na, e~.~.,~.,.......,.. :~S~a~ ~c~;~w;'~' C!~s0~S': ':?.".. "· ' ' DRIVER i R'~EIVER Ceceipt.of Ray~'entfr6~g ~n~ ·: . :.'" '. - .'.~ ...: RDO U. i.,,A ':'"'"" ' ' $°''l.14'cl' 0 :~.-~ :~ .'".', ~.~ NOiN~~' i .; '/, .... · ."~;' ' .... , ~,- '~'"'? ?.:';~ ,,?,:'~:,~?"':'"' '?': :" "' HAll U ES ,I :, . ,:;. ,,.,., . . ,.,~:~;:~ :',~ tx.?~:~.;'?~:. ~ .... .,~ ~,, ! :.Z~SustrSes Ltd , : . ..', ,~ ¢:,.~s'~.~::~z;.,,~.~,,::~ · ..... :,r . : .% :-.. ,- ~, .:,:, ?, · · .... .~eld~ddmss 2482 Douglae Ro~ "':;' ;. ~." ./:??}':' ?,'"? :- :~. ~,~. ~. · ." ,'?: .'?h:,. :.. ,'. . , .~*~ ""~"'~,'?'~?;,:~,? :.,'~ {~" .~peciar~a~li~']~tructions: . ,-. :'. .' Ci~,~tate; Zip ~ar~by, ~. C VSC6C9 ~;:~ :' ' "?.:' "~".~:?..;~.'.', .:, '"t:t;,':., ';;.: Q~':;':;.. ?:~:': .~. ,.:: _ ' ' ?' .,' Order Placed By ' Tim ~ci~ ~A · ' :' ;''>' " , (.',' 4 ':}i:.- :, : . . · - '- . .. ;,-':' ::~:~, ,,.:.~, DESIGNATED~FACI~TY "Signature of. Authorized A~ent ,' ., ~: ';:,,L':'.~;:,,7::- ' ..: :~,,,,: ;~, ~ ~,:,~' '::~:~ :. · ' .: ' ~'~':.~[~?:'"';'-: ~ Name ~*~an' SOils Inc. ,,..~ .,~ ~-.. ,. ~. . ~ ....~ ,... :" ..... ~,,,:? ' Address.~-~Z3' ~ ~o~ ,~,}:',: Date : ~2 I -~ t/ z" '~' ~'' ' · · ',.",~:::-. ~"/Ci~,State, Zp.';,,.'~e~e~, O~ 9~07 '.; ?; Title,, ~ r ~., '~2 "~ ~: ' .... ' 740 :."(Hauler Must Complete) ~L~ "'~' . ~ ,.. '~ ~ ';:'~:'~: :'~ Ti¢;~;~.: '" "~'~:: ~::: ~' Unit No. ~ / ~ : ~ N ,: ,','~, .~:-~, ~';~ , Nam~ ~S Transportation, Inc. ~ " ~t~ '/. Time ~~g/ 'Add S e.O. ' oX .: ick up . City, Stale,~Zi~ ~keraf~eld, CA 93388 ~ .., ~o~: :lhls .fora ,~o ~ usod in lieu o[ t~ C~i~om~ ~mnt of Health ~-' H~affi~s.W~to'Manifost for ~O~-H~DOHS wastos only. ~hono (805) 589-5220 ~ 4: ~:' ' · . ., REMARKS: '.' ~"', ..~ Date.':" ~ ~/-- ~ '. .;.:~. '(Facili~..' Operator Must Complete) '...', .':~.;.'~.. F.'.'.. . ~ ~'~ ?.-. ~:. ~,........ · · · .' ..... ]:~"";. ' v:".':',: ?.:. · :'~uant,~...Recei~ed ~,:~..Q ~,z/z/. Bbls..Pate Name,. ,. 7. ;~ k~.' ..~ ~ .;., ' t,?...~,t:T i. '...~.: '-',, ' ,, .:..'~~' ::, ,. - .~- ,o ~ .. ,A;, ..... . , . . ,.~ ..:~,..~ , ~....,, .. . - ~, .. , ..... - , .., . .... '.'~. ',,r..~r.'~ .... ', . .... '":.~.~,' .-?:', :~.' ~ AM "." " .~ ~... / :' ' . [~ . · .:.~ ~ .,~. ..,~... ),,?;~ ::'-,' ':', :'7,' .~? -;-.: :?;:". ~;. :. . . ,/ ...... ~ / ~ , ....... : , . .., ,~,...,,~. .:.~. ., ~:,,,,..~:.,,..~?, .,,,.:,. ., . "'~ , " , ":"' :::~:,'.:~"~"': .?' ..... :u~'U~A~ME~HOD":;", Q Su~ace Impoundment D'lnjectiOn -..)~- ,~<'}27 (/ ~ . .:~..~ .? ,. :.~.,,~;: ..:: ;; .:.~ ..',..;:~'~....:~.:,~.,,,~. ,.::-, Phone -..' · ,, ~-~ () / D~sp. T~cket ~. ~,):, (.?'~ /~' , ":'; '",-- :' ',~,', ~': '?.~,- ..:,,:,:,'.. Q Landfill ' D Other , . .,, ' - · . -." '~ ..':t::~'.7 ::~?'~';.: ',-' , - ~ ~ .~ : TOt4'~=GENE~TOR UNLE'' O~ERWISE Signatur~of Authorize~ Agent ./ ,.?. 'c · Date Re~m ,COpy ." . '~ ::~ . /% ,. ~:~._ ; ~, , ~ ,:. ,, (/ NO~: It is ~ot necessa~ to send copy to ~pt. of Health ~ices. - ' NO H~ARDOUS FEES SHOULD BE LEVIED ,O,MXVS-~-~O DISPOSAL COPY - '. : " I "~q~ ~AklA~'~;~'~..~:::;:~.:".' '.~'.~' . ~mM~~)~S~~L .... UAI. b . A~ ~ FA~ ~w~:.:-~~,~.. ,-.,..,~: .~.;~.: ..~' ~ ~ ~~ ~~ W IBA~R'S.~i~CD~' CA':~30'~ ..)...'.'..?:~"~;~.~;:~{,)~~~,'s~~.~, ,~..,....'... :.oo~-~c~': ¢.::';}'::.5':: ~,~.. · ~-...::~?:(805) 397-27407:..:.: · :-:: .r~<:-: ::- : , ..... .:---:::'~:::.;, : ;.'.:~:..'. .: 6'. .. . : ............... , .,.: ,..,,,. ~ ~.-~ ....... ~.~.z :,: ,. ....~.~.. .,~::~:... - . :..,~.~.~.,~ ...z,,-~;-... ¢ ........... ~.. .... .............. ~,,..<-..-:.~.~. ..... ~...... ] '~ :?: T.~::,~'~:,'?~?::?~.'t~ ,:~?:;":~..:.;~.~,;~ .'~::'~ ': :'/.":. ~ ;': ~,:::.~,.:-' :."-~'.. :: :','~..; ~;;X::~-/.?".:(~2) ::.-~ ~0 .' LB. InboUnd ~..~::;~&:~;~:~-j~ lbs GROSS t:DEPUTY ~:,~.'J D EPUTY':~:~'~":'~<~? :':-'"~;"-" ''' ~.,~.' ~, :~...:(,:~:,~,~~ r.':~'~'~:'~'e:t~':"., ~<~:..- -~,x,::' '''f~ ~;?~ ~'~,~" ~?~."? '"'" ~ ':'~''q .~.~. ~''''':.;~,. ~' ~:;~ ~:': ~:'':.':' ', ''<~, .... ' ':' '~'::'.:-:: ..';.':':~: ? ..? ': x~.,?.. :.:.'.: .. .: . ~ ~...~: ~2 ' "'"' ~';~4":?~ ' :~: ":~'~:";"'...' ' 6~40.103_ ": :'~" "'LB ,~. ;:.,_ -''~' ' ': ~" :':'::"" f'~:~'' ~ ~":' ........... ::;':~;;~:~:~"~:~::"; ';~:' ~ ~' ~:'"~' ~; ~"~ ' w~. ~,~:' ....... :~;'~" .":. :,. ~';":lbs ' ..... ~:' ' :' TARE '"" :' '"" ' ~':~'~-'~'~.~.~.~.~,~,.~.~t~,"~'~:~.~.~.~'~j~'~· y '.:. :~.~.. .. . .. ~.,~:,~:~., ~...,~ .:;- ~ _.~'. t I.CYANIDE.-,--.;,".'--.., ,~?,;,-.-..-. , ,.. ,..: ._ , · .' · ~.,'z~,~ --~ :" ~. %'~'~.-~ :~;T:--'- .... '-. ;' ' .'~.' .· .... . : '.. .. ..,~,. ; ........ · .,..-,:~ ~:., .::>.- -.~...~:~.-., .. ..: .:...:_ : · . .;.. ~ ~.. . .......,>; .. :;-, ~.:.. ~:~:...:,-~ ..,..: . I' TRANSPORTER CERTIFICATION: .... ".' LOAD ~' ,.~ TRUCK : I ac~owledge rece pt of the sod descnbed a~ve and . ' ' : : Ta~~ i',~ ":,-' '~ '~ .,~:.3~ :';:: . ' I ced~y'that the ~il is being'deiivb~ed to the Designated , . ,~,, ~,~.,; ~.:,~,~ ..r~'.~:'...:'"..~ ..:,.'. :...;:'... I":FaCili~in ~actly:the"Sa~e-cOnd'~n'as when received. ' · ' ' ' TRAILER LiC '. TRANSPORTATiONFEES-~re:paY~ble u~n CleanSoils ' · . ' .'-" }.' reC~'ip~'.of ~ayme~'~6'~"61i~fi~g~[ajbr:,:~: .... -~:~:::. ~ . ..DRIVER/:B.ECEIVER-~~~...; I .,; :~.~-.~.~,.-,~..:~.~L~:~:~;~.~:.~,,~.:j: , ;~: ;y' .;~.;~' . : · : ' :.. · :'r"::':,~;:.~,~-',,-~' .~,~.~c:~,.~,~ .~. ' ..... c*~::" ~; ::t,c:.;,..-v..:',:.:-'.""'. ~.;'.." :':-:. ' '~-' :..~ ;' · ':: .~. ";'.:" :~;O'.:~":'}c ~...".,~:~. '~.~:.',;~.'.'~.F;~;;'~:~:X~.... :..'-;'.'". · : '~ '>' ;:-" '"::" ';¢" 5;:' "'?: '.'~ ' .~/~ ,~ ':v ~ ( '".: I"~.,:~ ':;~'. '~{-;~;::'.:/.~/r~..~' ,~';';~:~;~:;~:-:~;'~:':'.~ ."-?$ ~::'.'.":~. ;¢/. :,;.. ':.:~ :..';Y ~-:.C~:. -'' ~ ': :.; :;':'-.':~.-... :: :': ,'(. :. I, Tank N~.. e: ,-'~.. ~'~; P.O. BOX 5295 "°:.:BAKERSFIELD. CAUFORNIA 93388: , IdorArea' .,' (80 ) 89 5220 ;. N.° 114902 ~' '~' HAZARDOUS~WA~E HAULER"RECORD ~; ~ ..... ~; TO BEUSED FOR NON~H~RDOUS .WA~S ONLY..~" , · .,~ ;..' .~ . . (Generator Must Complete). ~ :'.~:. "-' ' . ,,:~:~r.:.>, ~ . WAS~TO BE~ DISPOSED ..... .:';~:~:'~? ..: .:....~:.... . : :.:~ ....... · · · . '- .:;:.~?~:,::.":. ~..,... .. . :~. Type ',' "~':'~d~n~Y~nn. ~nnr~m{nnP~~ ;~;'.Na~~ ~and ~ndus~$es L~d ' '"" ~ Field':Address ?A~ n~,,~] ~. ~.a Special Handling Instructions: ' Ci~State, Zip -A~.~_ R_ ~_ v~e ~ Gloves ~ Goggles ~ Other Phone (~nA) 7~1-602~ Quanti~ .,,~ ...... ~ . ~b~_ Order Placed By ~ M~r,; H~A ~ DESIGNATED FACILITY Sign _a~re~ Author~Xge~ ... ~ Name. ~!~. ~e*!e " Date ~ ~ - ~ /' ~/ '> City, State,'ziP..` ..u...~a. n. Title ~ r ~'-.. Phone' (Hauler Must Complete) :-' k;~. ~ ~~ ~ . ,.. ., .....'; Tic ~' ~':' 'c. '.. ' e . : ~ Unit No. ~/_. / ~ Name ~ T~n~n~t a ~ ~ ,~ ~n~_ " ' " ' ~M ' · "" ? y ~ Address p_o. ~a~ ~795 ': ' Pick UpDate Time ~ City, State, Zip ~Ee~ ~] ~ ~A q~R' NO~: ~is form to be used in lieu of t~ Califom~ ~padment of ~alth ~ices ; .... Haza~ous Waste Manifest for NON-H~R~US wastes only. · ~ Phone (~) 5aq-~?~a REMARKS~ Signature ~ A~edAg~ or Dri~~ ~,".- ~n~_,~ ~* Date. ~-~-~ .,.' (Facility Operator Must Complete) ::'~.~'"' Quantity'ReCeived I~/': ~ ) Bbls. Date Name q" ,~ .... ~ - '~; ~>:' ' -:" ~.' .'~ AM Address -".1 "'; 7z ""~ <'- '~'7:' / : ': Time ~ PM .... :... , :.,/..,..- , . . City, State, Zip ~ ~ '; / ?O 1 ' · ~ ~ ~' ' DISPOSAL METHOD: ~ Surface Impoundment Q Injection ~' -'2 '' '. " B Landfill B Other Phone -.0'~-;;.;~ P~/ 0 /Disp. Ticket ¢ .:' (')- Ream Copy To: GENERATOR UNLESS OTHERWISE SPECIFIED Signature of Authorized Agent :, ~¢, / Date . , u i '., /.. ~ NOTE: It is not necessary to send copy to Dept. of Health ~rvices. :' .... '~" - (~ "' "-'"'" '-- ' : ~ ' / // NO HAZARDOUS FEES SHOULD BE LEVIED .o.~ ~-~-=o DISPOSAL CQPY ~,~¢ ,: .: :....,,:.:.~,~,-.,,:. ,-.. ..... .., ':,,~ .. · ,...,, ~ . ~ _ . : -~.,?' ~:~; ~ ~." ::,: . ,TRANSPOR~ER CERTIF~CAT~Q~.~'?:...'.;.:., ;. :'.. ' "' ' ' "' TRUCKLIC sOilde~fibed.a~veand ,... . . · ...... :~ .~.:~; . ".": '" "' ' ~' '"'"' toftne' ......... ., ...... -... ",, . . · -' l acknowl~gerecmP. · '; .... ' Desi nated., .... · -'. .,~,~ / ' ·" the ~ll is being d ....... .,, .......... , ~:~ .......... · .- ,~:... ,TRA. . ........ -.' · el~veredto.the .... g, .-..:.- - .,, .' - ILERLIC ~ ~ ' " ce,flythat.. ............... . ......... when received., ..,~... ~ ...... --:. ........ . . .,..~- ........... · nd~onas ....... .~..., ........... ... Fac~l~ m.exa~lY~.~.~ ~vable u~nCleanSo~ls ,'. · DRIVER / RECEIVER ~ TRANSPORTATION r=:~,~.,~ ~; ~:~,- ,~ .... ' :" " receipt 0f~6yment from ~hen~gen~rat°r':''::~ "' :~:::' '~ '"~" "' ' ~' ' ":"::"' ~ ' · ~~.' ;: :::.: ~ ~,e~,/~'/': ..'.'..".....' '"~.'-': :', :~%:'::~';'::.':'.- .:':...' :.: D~e~~ ;';,":,,::~. ::;- ::: =.: ~.:..~ . .:. .' /,.' Tank NO. '- -' I~'.0. BOX 5295 · ~ BAKERSFIELD, CAUFORNIA 93388 TO. iBEUSED FOR NON;H RDOUS:,.WAS3:ESONLY". ?: (Generator Must Complete).: ........ -: ' ' ,."'~ ' ' , Name: Z. a3.aad ]:adu$~:]::[.es ].cd "i- E~ "' ~' - Field Address ?/,~? Dn,,~] ~, ~,~,=,~ Special Handling Instructions: \ City, State, Zip Ba~n~,h7: R.C_ V5C6~.9 [] Gloves... []Goggles. I-;'1 Other Order Placed By '['-~m .N~-r ~ n= ~F^ ~1~ DESIGNATED FACIUTY Signatureo~Authorized Agent ~ i~ Name C~_e~_~ Title ~ ~- ' Phone (805)397-27/:0 .~., Name ~S ~ran~aor~at~on, ~ Address P.O. Box 5295 PickUpDate ~'2J'~ Time ~,'~0 ~p~ ~ City, State, Zip ~aker~fieId. CA 93RRR NO~: This form to be used in lieu of t~ Californ~ ~Hment of Health ~ices ~ - Hazards W~te Manifest for NON-H~R~US wastes only. ~ Phone (805)589-5220 REMARKS: .(Facility Operator Must Complete) .- .. · ' ' Quantity Received Bbls. Date ~ AM ,, "'.... '. DISPOSALMETHoD:.. ~ Surface Impoundment ~ Injection Signature of Authorized Agent '"~ ~ Date Return Copy To: GENE~TOR UNLES~ O~ERWISE SPEClRED " - i ~' / ~ f NO HAZARDOUS FEES SHOULD BE LEVIED ,..' ';..,. ~ ........ ~, ~. ~....,,[j~.., / NOTE: It is not necessary to send copy to Dept. of Health ~rvices. K~-T-~O DISPORAI.. COPY iROSS lbs TARE NET TONS No. ' P,O. BOX 5295 · BAKERSFIELD, CALIFORNIA 93388 ~:'" - ..~"- ~,:"~ . . ---- ,.:'"(805)589~5220.· '+.'? .' · "": N9 114 ,q 2 3 Area ' NON, "AZARDOUS~'~~Ei~HAULERi, RECORD'"'~:,~ . , i TO BEUSED FOR NON~I't~RBI (Generator Must Complete) . : ' ..... . ' .. ~ .' .5:;'. :...'. "":'. Type.. '%~'{~l~'°earhon Conthm~natad Soil Inland Industries Ltd .Generating Location 3012 Pierce Road: Bakersfield CA Field,~,ddress 2&82 l~o, gl~,u Rna8 -..":' spe¢ialHandling Instructions: , City, State, Zip ~rnah¥.. ~_c. vSehee ~:.. [] GIo~tesl.',. [] Goggles [] Other _ . . Ouanti~';!.'7. ' ' "'::':' !!~':5?:ii:ii; ~. DESIGNATED.EAClUTY . ).;":::5 .Order Placed By :, lil.-H~rttn, t. il~l ' .... .,...: ii:.;,.i}.i7 ,',: :'~'L. ':,;:' - .5: .; "?--?<:-:,'<,,; ?.:5:1,=~ Name' . Tn,... '~_ --, · ...' Date 5- /--- h - "7'C] ' ' : City, state;zip:: ~,~,-r,,,=~o~a c~, 93307 ' ~:;~Title.' [..- (Hauler Must Complete) · ' Ticket #': "'-;1"~ 1~I/ ~¢~ Unit No. ~ / '7-7~' ~'&: Name k'V$ ?rannnorrarlon. Inc. [] AM '~' ' ' Pick Up Date J~"-~/-~ x~/ ' Time [] PM · " ~ Address P.O. Bo× 5295 ii'i~'-' ~ NOTE: This form to be used in lieu of the California Department of Health Services . ,:,,. ~ City, State, Zip Bak. er.f:teld; CA 93,3,~gI Hazardous Waste Manifest for NON-HAZARDOUS wastes only. ~ Phone ¢805) 589-5220 -- REMARKS: ". . (Facility Operator Must Complete) .,. Quantity. Received. -3 !~ (.-O Bbls. Date Name '"...'"--~-¢'~ '~"--Y~'q " ': 5: : -.. [] AM '" · ' '" ' ~ i ': ' ':"" Time Address ":" '~' ". '=- · .... , ¢~.5. :' ..- ' [] PM . .... City, State, Zip .......... -~ ' · '-' .... % ,,- DISPOSAL M THOD: [] Surface Impoundment [] Injection Phone '. :"~ 5::'7-'!, '2 ,.t 0 / Disp. Ticket # '") O {r; ~-' I " .'::. ~- [] Landfill [] Other ~e~rn Co~¥ To: ~£1~?OR U#L£$$ OTH£R~I$£ SP£¢lFl£D. Signature of..Auth°rized A~ent . ,..¥~,! Date (/ // NOTE: It is not necessary to send copy to Dept. of Health Services. '.. ~ ... 5,,..',, :. ' '/// NO HAZARDOUS FEES SHOULD BE LEVIED ~o.~ .v~.t.~o DISPOSAL COPY II, Tank No. * - P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 .... eldor Area ~.;'-~. (805) 589-5220 N.° 114920 . - .'- ,,'~NON- ' HAUEERRECORD, , ...... .-,~.' · :-, ,~ . · "' N;R Oo ' TO BE USED :FOR NO uS.WASTES?ONLy,..,::?'" ' (Generator Must Complete); .?~' '... '2 ':.:.'~,:'.'"'~-;~ ': ' ,'WASTE:TO';BE.DISPOSED : ':. .: ':? . . -- "!=~ Name ]'nland ]:ndusl:ries Lcd · ' : · ' ":':' '." ':'%'~,'!~'Y~' ". :" .?. '~i~" "~ :'''~ ' Generating'Location '" 3012 Pierce ]~oad. Bakersf:teld CA Field Address 2482 ])ou_~]_as ~oad . . . Special Handling Instructions: City, State, Zip l~azrnaby. I~.C. V5C6C0 ': . I-I'.Gloves '. .. E] Goggles [] Other Phone (604,) 291-6021 "" :" .... :" ': ..... ',- ~--",~,. /-? '.'~ .i' '.. Quantity? Order Placed By Ti., l,~rr.J.a. I~FA ": DESIGNATED FACILITY Signatu~,~of Authorized~Agent .~ ". . Name . c1..~,. ~,~ 1~ · '" ,:.. City,'St~te,.Zi~? ~,~E~-.~-l,.~a: ~ ,--~-': ~--'~- ~-:"'~ (Hauler Must Complete) . . "..:':: Ticket'#;:[': 'OW'~.5-- unit No.-7--g'ff' / :'."' 'i: -:":" Address I~.O. · Box ,52~,5 '"' '~': ;:"' Pick ::i I~ AM City, State, ZiP "']~ke~:$~,eld, CA 93388 '~ .'.'~i ,,: . NOTE: Thl~;f0rm to'be 'used in lieu of the 'Califomia'Department of Health Services ,- ' ' :'"'.,~: Hazardous:Waste. Manifest for NON-HAZARDOUS wastes only. Phone (80.5) 589-,5220 ~3) ....... · ' ~ REMARKS: . . Signature ~ Authorized Agent or Driver ,~.~ Cla,.n SO:rLi. ~CA I234 Date ~ - (Facility Operator Must Complete) Quantity Received· .'~ Z/: .-~ ~ Bbls. Date Name ' '"..'~ .... ,.-~. :,>~ ~.-~ "'?': '- ':' ' ¢ ..... '" '- ..... ~ ' ' -;':t ':":,: .... ,..., .. ,., .: ;;;;..,, .,: · [] PM ' · '. , .. ,...::,?.... ,~-. ,. . :? ;,.,.;q.: .,.. '~.%. .. , ~ · , City, State. Zip *'- "~'~-'-'" :"/ --' ' ' '~'' :::': :..:' ' D~SPOSAE':'~ETHOD:i".' "D surface Impoundment[] Injection - ';' ', (:,. ( -" ' : ':. '. ."...i! .::,:.?.,':.::::: ':, [] Landfill [] Other Phone '.['.',.)i ~':"-:i ~2 ~)"A.".. / Disp. Ticket# ,'..':, .g ~ Signature of Authorized Agent ::- / Date Return Copy. To:... GENERATOR UNLESS OTHERWISE SPECIFIED (.--~-~. '~; ;,. ' '~'?//) :' NOTE: It is not necessary to send copy to Dept. of Health Services. ....... ~... - . ' -. 'v. u.:.' ":' ." ~'/ NO HAZARDOUS FEES SHOULD BE LEVIED .o.~ xVS-T-~o DISPOSAL COPY ...2123 PAN, . · : healeY'that the ~il is being delivered to the Designated - . . - ........., - ..:.,, ] : Facility in exa~l~'th'e Same condition as when received. '- ~AILER LIC. ~'.,P',/-,:~/ TRANSPORTATION FEES are payable u~n CleanSoils receipt of payment from.cli~OVgenerator. DRIVER / RECEIVER ,Well, Tank No. - P.O. BOX 5295 · BAKERSFIELD, CALIFORNIA 93388 · ' ~- ield or Area (80S)'589:5220 ..... N.© 1 1 49 2 1 ' 'HAULE-R COP;RED · NON'HAZARDOUS;WASTE TO. BE USED FOR NON'HAZARDOUS ,' r,:'!' ~:'.. '5' ,-' .:,~. '.. (Generator Must Complete) ". .-7 ".:::',i~'i'i:;5?,ii!:?:i~i.';~¥-', ?.-". · WASTE!~O,BEDISPOSED '..' i:... :,,,'.: .: .:. ,,~..;¥~;~%~:~,..:~;.. 2.k,' 'TreeTM "'.ltvd~ocarhon'Conc.e~n~ced '1~ Name Zalaad :I'ndustr-les Ltd "~.'-:;;:'.;;:~,:., . Generatmg;Eocabon.' 3012 Field Address ~A_87_ nn,,5~ ,*s Road ::. ".'.;;,; ' · Speci~lHandling Instructions:' .. . City, State, Zip R~,~-,,~¥~ ~_q: v5c6C9 .r :';?..!~i:'~_. . · '"~LI--I:GIoVeSi,?,;'J--IGoggles [] Other Phone (,o/.)791-~n?] ' ""!':!:::~ ;i: ':, "euanti~:'?''?~'~?~:~:-'''''''''::'~ - Order Placed By fi'f,. N,~rr~.: UFA i.~ , DESIGNATED'.FACILITY~ .. ' , . , '.'- · ' ';'i:'.: . "".. Signat.~//of Auth,O~Z~ A.~. .. .... Name ¢].,~-_. . $,:,_!!~ ' / ~ ' . r ~' ( Address f'~ i:;~' P"""'"'"-., ., Road ~Date , ':>--~/ - c:~ L_ City, state, Zip ~-_ke_-'_-£~ela_, CA ¢3307 ,:Title "-/"~ /_.. ( \ Phone ('Hauler Must Complete) " '-"--~ t: Ticket # Unit No. / /"' Name icvg Tr~nnrtatJ nn In~ ~;' ~ ' ' ~ ' Pick UpDate "~. ' Time (~ ~ Address P_O. ~x 52~, .~'. i NOTE-- This form~to be used in lieu of the California Department of HeaJth Services ~ City, State, Zip ' ;Rnk~r~¢~ elrl; CA q~P,~' .': '~;; i .. Hazardous. WesteM~nifest for NON-HAZARDOUS wastes only. ,~ Phone '..'' . R MARKS::'.".'.. "" ~,=_=C5~ Signature of Authorized Agent or PrCzer . ¢.1 ,~,~ .~n~ 1 ~ ~¢.~ ~, / ' Date ¢2/- :: i:'! .' =.. (Facility Operator Must Complete) ' "'" ' Quantit'":';i~ 4""i''dyHeceve _.~ Bbls. Date Name ,~' ','k.~-~.~..--_.i .,.s~_~,.~..v .'L . ' ~ '"' ":' ~ AM , . , ;~/~.. "4. '. ; ~.,. ~" '"':~: '";~ Address . ,.,, . . · :..?, ~.,~,.....~ City, State, Zip ?/~:"s;~F~'['// (C:~' (.~'~.~0 ~ :'"'~ "" .,',~,r.,-~-,-'' ~,?,::~.',:*~.,,":. ~.~ .... , ' ' ;.' ' BISPOSAL:METHOD:' B Sudace Impoundment B Injection Phone ':;,"?-)i' ~.'~ ~-? ?]O Disp. Ticket ¢ ~,¢ )/., %-." .~ . .. :.;.:'"~;"'.. :r¢.;:.~.'?., . B Landfill B Other Ret~ Copy To: GENE~TOR UNLE~50~ERWISE ~PECI~ED Signature of ~uth rized A~ent . / ~ 1-- ~ i --/t/ NO~: It is not necessary to send copy to ~pt. of Health ~es. ' ~ '~ ~'-, NO HA~RDOUS FEES SHOULD BE LEVIED .o.~ xVS.T-~O DIRPOSAL COPY Weli,' 'l-a'nk No .... ".,--r--~-~ P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388' ~e,d or Area -'~" ' (805)-589'~5220 '. !:~::-'.: :.~ ~]'.O ' NON'HAZARDOUS;-WA TEHAULERR'ECORD TOBE USED FOR NON'H~'RDouS.WA,~Ti-~S.ONLY ~- Generator Must Complete) - .. ' ':' '.'?i:iL WASTETO--'~E DISPOSED ',, Name I~d Industrte~ Ltd ~:' Generating'L0mtion : 30!¢ ~-~ ~-~. Field Address 2482 D~i~ Rnad , Special Handling Instructions: ...: · Quanti~ . ~:: Order Placed By TSm ~, ~YA , ~ DESiGNATED,FAciLiTY ~o gen~ ' Title ' ' ' Phone ~ - t Complete) : ?..,.:.~:~:~~ ~ :": "~.. · Ticket¢: UnitNo. / ~ Address ~.O. Sox 5295 ..... ' Pick. UPDat;;:~"~/'~ Time ~ City, State, Zip Sa~a~e~d. CA 933R8 ." '. NO~: ~ f~':to~ ~ed in I~ of t~ C~ifom~' ~d~nt of ~h ~es ~ - H~a~s'.W~te ~nifest for NON-~R~US w~tes on~. ~ Phone ~805) 589-5220 ;. REMARKs:r~;:'.~.~ ..? ~ Signature of Au~ized~gent or Dri~ - ? , · ., .... :. (Facili~ Operator Must Complete) ?:.,. :,..;~:.~. ? . : ' DISPOSAL METHOD: ~ Surface Impoundment. D InjeCtion: · Phone "'''*~- ' ~" .' '%'' ':) / Disp. Ticket ¢ ~" ~ (~' ~'~ f ~ ~': D Landfill D Other Signature of Authorized Agent "/~'~/(') ~/ NO~: It is not necesSaw to send copy to ~pt. of Health ~ices. ..:~ , ,' Date Ream C~y ~o: GENE~TOR UNLES~ O~ERWISE NO H~RDOUS FEES SHOULD BE LEVIED : .o.~ ~-~-~o DISPOSAL COPY · I aCknbwiedge receipt of the soil d~scribed.above and .certify~'that'the sOil.is being delivered to the'Designated .- -' :','.:' - .... "'~ .~ .... ~,;"~ .' · FaCi!i~Y.in:'~.X. actly the same condition 'as When received. TRAILER LIC-'#' '~' . II, ~ank No. -'~ ~ · P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388'!.i...~iil '. ' '"" .... .,._ __' ::: N°. 1149-19 220 . :::: '"..:'-:.... .'. i;":'""' '.~-ield or Area _', .. (805) .;8.v?,T, .. .......... .,.: . -d ' ' NON' HAZARDOUS:'iW_ EilHAULERiiR'::: .............. "" ' ~";-" ? TO BE'USED FORNON:HAZARDOUS:-WASTES!ONLY: · (Generator Mu~t Complete) ' · ?.~.,2!i~g· .::!;r..'~.. ~ -.:.: WASTE TO'BE. DISPOSED ':'ii ..'J"i~!ii:i:i':'ii'!... ....,,~ "L/~' Type :- -: Hydr0carbon..~;:.. Conr. amtnal:ed -qo:l_l 1 Name Inland lndust:ries Ltd . ".'.:~':.U,':': :ra~.Generating. L~cation' 3012 P~Lerce Road. Bak,~r,=f~.la. CA .":"' Special Handlir~ Instructions: Field Address 2482 Dou~zla~ Road ":'":,:': '":-' ~ '. .... ..,... [-IGIoveS:... [] Goggles [] Other. City, State, Zip Barnaby, B,C. V5C6C9 . ... ..... · .' 12 "'."j/;. Phone (604)291-6021 ': .' :':.::" Quantity'; ,~. -, ' * ~-~.,- Order Placed By Ti~ Mart ir~, HYA . ~ DESlGN~TED'.F^clLITY Signature of Authorized Agent Name ~],~.n .g~tl,~ In.-. ~'~.._ ~/"-~,-._~'/1 Address 212"~'P-n--n Rnnd Date / t ?;_ ~!_ ,~ ,-/ City, State;:zip ~,,k,,rnfq,,~d; ¢.a 93307 Title ~"~ q. [.., phone' (80~).~q7_27&O '/ '- ~~ (Hauler Must Complete) " Ticket# ~'"iV/~ 5 Unit No. 'T/_~ Name k~S ,Transportation, Inc, ' · .' , ~ AM ~; Pick'Up Date ::'L~ -2 1 '5¢ Time /~) ;3.5'- .E] PM .(~, Address P;O. Box 5295 ' - NOTE: Thi~ form to be used in lieu of the California Department of Health Services · ~'~'~'City, stato, Zip B~kersfleld ~ CA ~81~ Hazardous Waate Manifest for NON-HAZN:II~US wastes only. Phone {805) 589-5220 REM^RKS: ~ Si ..~. Cltan St}il~ ~P_~ 12"l& --.~ .., .. .. .,~,~f¥ . ,.. . . D to / · ,.:'", (Facility Operator Must Complete). .:'.-".'.?' ./:~i'!¢'~:;.'.:.;,:.~. '.:.': '" Quant~iRecerved¢.:.:"~' ~'. t-~ c~ul~..uate · , ¢';";i': .'" ~"; "':' · · .Name ' ~-,.'"' ;:' .'~-~--,:-~-~ -'/ ": '''''!'; . · -..-~:.~?,;:~,.. ,,...-.,, ., ,,:,~¢~?~..'.~;.,~,.,~. ,,., [] AM , .'/ ~ e'% B PM Address ; ._; %'.' ._~,, - ( -~..~,- ,..~ . . ~. '?.~ .. :: ..,,,, . .. .:': '.'~,''.. ~ . ' ',~" .,' '.~3: , ,,'"j:;'r L.:: ,-' -~- , ' '{:*' ~O? citY, State, Zip "':} ..... ' ~'~--~ 4 .. ,0',"~ / ..... ~. ' '/.-' , ' ": ;~".j ' :":- . DISPOSAL METHOD:,' B SurfaCe Impoundment ~ ~njection Phone '""- -" ~-'?-~/' / Disp. Ticket ¢ ."; :'?/'~. '~ , .} ,: ,..;;~,::.. · ... B Landfill' B Other -:, Ream Copy'To:"~ GENE~TOR UNLESS O~ERWISE SPECI~ED Si~nature~ of Authorized~, :Agent ~ '~:.~ NO~: It is not necessary to send copy to ~pt. of Health ~rvices. ,._ .,,~., ~ ¥ ~ ,...~. ~ '-/'/ , ~ NO H~RDOUS FEES SHOULD BE LE~ED . ,o,~.~.~0 DISPOSAL COPY ' " TRAN~PORTATiON FEES are.PaYable, u~n Cle~n~o~l$ DRIVER / RECEIVER receipt °f'Payme'nt from clien~en~ator. ~Wel[,Tank No. P.O. BOX 5295 · BAKERSFIELD, CAliFORNIA 93388' ' ' - lON - HAZARDOUS :!wASTE HAuLER'. . RECORD. TO BE, USED FOR NON:HAZARDOUS'WASTES'ONLY ~ (Generator Must Complete) ' WASTE TO BE DISPOSED ' ~ Type Hydrocarbon Contaminated So~l Name Inland Industries Ltd . Generating Location 3012 Pi~ce l~ad, Bakera££eld, CA Field Address ~_48_~ _r',o_U~!~_~ ~o~_~ ' ' Special Handling Instructions: City, State, Zip _~-',~by. _~;C_ V5C6C9 :.' '.'. [] Gloves. [] Goggles [] Other Phone (604) 29 ~ -60_~ 1 . :: . Quantity · ._c~-~.-- Order Placed By 'r~,~ ~,~,'r±n~ ~ . . ~,. DESIGNATED FACILITY Signature/f AuthorizedJAgent (, ". Name c1.,,, s,-,,l. Ir,,-__ Title ' ~1~'~. 'L Phone (Rf~)'i~7-??&O ' (Hauler Must Complete) Ticket Unit No. . / Address P_a. R.~ s2~5 ' -'. Pick U Time _ ,~ PM NO~: ~ :f0~ ,t°"~ ~ed in I~ of t~ C~ifom~ ~nt of ~h ~lces ....... .. ,'... Haza~:~e ~i~st for. NON-H~R~US w~tes Phone (SOS) ~S9-5720 REMARKS:?':~?:?~''' ~ Signature of oA~ Cl~n Snil~ ~CA 12~a .. (Facili~ Operator Must Complet~)~: ..... '":~' '~ ....... ' '/7' "- DISPOSA~ METHOD: ~ Surface Impoundment' Phone ". ':': .(: 7-.~n/~ O / Disp. Ticket ~ ? "." 0~., ~':~ (/ D Landfill D Other :~ ~. signature of Auth~ized Agent ~>~'~ Date Re~ Copy To: .. GENE~TOR UNLESS O~ERWISE SPECI~ -~- ' ? NO~: It is not necessary to se~ copy to ~pt. of Health ~es. · , ............ ~', ,. . ,~ .,,~ '~ ................... " NO HA~RDOUS FEES SHOULD BE ~-~-~0 DISPOSAL COPY ~ · '".'. ~ ';. ~:'. NET '.' I:. ~ '.. ,' ~ . .:.' . : TRANSPORTER C~RTIFICATION=' '.1 aCkfi5%ledge'receipi °i the'soii deScribed'above agd. ::/:~,.'-:',.'~,':.:" t'~, ' .":. TRUCK LIC'. O":~:N' :t'i::.?.~:~=-t ". ' ' ce~y.~.hat. ' ' "the"~' il is b~in'. g'deliver~.... ..... to...~the Designatea.. ".:~:".. ?',: .':~.. 'G',';.,: ..:,~:'"':::,:~:,..,,.: '::::~' " "' "~ LIt"::" ~' ":~-:¥1- ' '~¥::'~'~Y::"-~-z,," "' '"' '~' ' Facili~,in"exactlythesame~nd~.~9.~S.~.heq~[~ce~red' .. :~::'":~",'::'.~; ::" ":: :- TRAILER C. "~"~.':"~. :,,."... ' . TRAN S P O~TATi ON. FEES' '~re"~Va?6:U~ 6~cloanS°ilS":?::~:~?:)~:¥: ~;'~,~?: :76 ~'i'~h' '~ 'receipt 0f payment from cli~n~geBer~to].".; :.~'.:;:-. ;:.,;,. ':'' ..:~':.;:~../-?.?;':.,-:,-~ .,.c'., :., :.:" .' ' ... -".: :.: .'::'.: .~::'.:';'.:':. :'; ;': ':-: ';..':' · I, Tar~ No. P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 (805) 589,5220 "~' N9 1 1 4 I~,d or. Area ,!?. ~-: " O HAZARDOUS HAULER,RECORD TO BE-USED FOR:NON H ARDOUSWAS SONLY' (Generator Must Complete) .:~ ';/'.;;;?%..:.~. :.'. ? ' .WASTE'TO BE DISPOSED : ..........' ~ ' 'HYdrocarbon Contaminated Soil . . , ~. ~,~:.~,:.. '..--. · :.. ~? ~?~:. '.~.:.' .- .Type ..'......::: ;:~:~:' :~ 'Name ~l~d ~udus~rteo L~d "'::;.:;;' ': :;'/L.' :; ~..Generating Location" 3012 Pierce Ro~. Bakersfield;. ' Special Ha~ling Instruction: . ield Address ~482 Douilas Icad ; :.... City, State, Zip Sa~by. S.C. V5C6C9 ~.~ -:. ~ Gloves. ~ Goggles~ ~ Other ' Phone (60a) 291-6021 . .. ~.~;: ~ DESIGNATEDFAcluTY Order Placed By ~ia ~r~in. BYA . Signature of thorized Ag nt Name · ClaSh Soil, In~. --~ AddffiSS'~l 2~ Panda Rn~d " Date I -~' ~ I . ~ '/ City, State, Zip 'R=~.~.la: eA ~n7 Title ~ , & Phone {R05) ~ (Hauler Must Complete) Ticket:'~ ~*/y' UnitNo. ~r~ / ' Time ~.. Pick Up Date . Address B,O. ~ox NO~: ~ fora-'~ ~ us~ in lieu of ~ C~i~m~ ~nt of ~alth ~Ees ~'~ City, State, Zip ~e~[~e~, C~ ~3388 H~aS W~te Uan~est for NON-~R~US w~tes on~. : ~; ": :.:' ~) . REMARKS~ ':'.":'. '-~ Phone (805) 589-5220 '~ · Sign~[e of Authocized Agent or Driver . , ~ ' .:~ · Date Z'~¢ :': :"~.: ."::~:L~/:: '~-'.."{"~" '::..i:-"": '.. '.: ::' · .(Facili~ Operator Must Complete) ' ::ti ;.: ~;.v;:?;:~:;~,~:' ?: :.: QUanti~?Re~ei~bd¢?:''~'l ,~ ~ Bbls. Date · Name ('k ~.~,_~ ~ ~'' ~':~::~::}.~::: .' ~_' '::..:-:.' :';.;;i~'.: ~': : ' ~, .., , .~' .,., . ....:~,.:~.;~ ~;~,~ ~:.:,- · .-', . ; - ' a.: ::: ':.:T-'., ', ' : .'~;':~:~- -~:~FZ~(*;-'~;~,..- ~,: .... : ""' Address ~-/ -- ~ ........ ~,,,~:-,' '"' ..... ," ..,'.,,,',~,~-;' ~,' ~.' ...: ,.. City, State, Zip ~' ~ ' ~ ';' ~ ¢ ~0 ¢ "':~;.:" , . ~ .... ~.., · c._ '-~ ? ~:.~: ~":' D SPOSAL::METHOD::.~' D Sudace Impoundment ."- :) ~' · . . : : · .... '" ~-.:~ '3~¢ ~ ' ' ' .... Phone ':'""" ~ ' 0 / Disp. Ticket ¢ C:'*h ¢, ~ ~:) ~ : :'~ ~':;''' .. D Landfill ~ Other ~ , Re~ Copy T~:'.. ," ~~ UNL~ ~1~ ~CI~~ Signature of Authorized Agent ~/Z '/ Date' ///'""' "' ~J~ !(~t NO~: It is not necessary to se~ copy to ~pt. of Health ~ices. NO H~RDOUS FEES SHOU~ BE LE~ED ,'-.. :.:..':~' ' ~)~ "':: x~: ,.. .o,u ~-~.~o DISPOSAL COPY ,.:';~'..'~..:"'~.i.-,.. .' '. . ,' .:w-~~~'m .... · · '"lk.'T~ '..~Nat'I"~,-~., · '.~ ,~"%' ' ~ ;',~: - .'. ,'~ .~: ....'~:~.:~lS. TO~.~~~~.,.: . .. :~: :,. ~ ~..,~~ '-' ':;'~ (:!~.~11~.:~;~,~,~'~...::...'~.~: ~~,~,~Ws~~,.~', .... ...:,. ~..:.;..,..~:..~..~.;,,.....:.~,,,..... ,,. ~.~.u ~,~,~.~";~,; F'S., ~:?:".:, ~~e~ ~~'~'~'&~: :~, ': '..'; '.'., ;.'~* '~T~'..~,~-r~.... .'~-,-. ~. ' .',, ,~',~..'~.;~h~,~- .............. · ...... '.. . ";~,~-.~,~:~.*~;Z-~.~ ~ · -~-~-~,.~.~..~' ~ 2123 Pa~a ~d..~'.':~':',;:~'~"'[E~.~' :~:'.','' ':':" -.' . · - . "-..~ . ;"...~:~,'-..'.'.: '.:';'7;'~; .~:"-;'."? ':' :.~:': .::.-'.~.~ ~,::~T~'~.':~p:.'~.,~'~ ~- '. ,.-...... .,. ,., - . ,~:..:~,,...~,;,, ~ ..~,.. .,,.. .. .. ,..::.,LE :.:,~:.. . ,~,:.~,,. ~;,.-~.-:. ..,,,.:,.,.: ..,.S~,..?..~:~,,.~. :_-,--:-..}~S~( ..:.~- · . , "-. ;.~.;:~?~.~':..~';;'~.:.~ ~'~.; ~?.L:;~'.~':~};..?.;..;,.-. .'.'. ~ ;:,...,; . -' : ;';.,.,,,-' .,.'..'.;:;'.-:~2!~-4:'~ 1 ~2~,'~'~:~4~¥~Z~-?~{::::: ;'~:.' - - .~.-.~-.'-,'-':~.~ .... ~,'~'~.:~,~'~-~:,.-~:~,'~:' ~'-~: '. "' ,'. '.':':.,:' ". · - '-. "~- :'" '"~"; "/' :'.~.'." E. '' .'- . .-~ ~" '.:~]':.- ,':.{'~.~; :.~'.~'/, '. ~'. , :' ' ' ........ . ......... .:,. ~,,.:...,.~.~ ~:~.-,~..:-~,...~., :,.:~ ~.~ ,.-~ .~ :..... :.. · ...... .... - ....... ~.)-,?,~28,:L~,~:.b.~.~.~.:,,~..,~ lbs ,.'.'.'~..2 -:"..' .'"',';..".." :' -'.'.' : '~:~),~'.~'""'~.'~-~:~;:',.,':.'.. `~`:~.;~:.h.~?~=~.-L`~`~`~:~.~;.~h:.;~:~-.`:~%~ .'~.-~ . H'-' ' --.' ](" ' ~-'-' ........ "-'::'. '-'.- ' ' . . . ........ . '- ~ :~t ~,.';'.~ ~ ~:~..' '... -,, :_. ·; ,: ,.' .-. . -{:. .... ~' .).i- _' ..... ... . · '.".~:~:.'.. ~SFT~.:'~'f4'-':~': :.--:~..f'~. .,. ,.. . . . . .: . .. .... ~/:~.,:;.,.--,...~ .... - bsTONS.p .~ ... ,..... . ,, . / ,,--..,. .... :....., ..... . .. SULFIDE:' '"'.(~-'?' '.':-":'-'" ~ '"'-...~ ' ' ' - .... "/."'~:;,';?;~'.: .. ' -~ .'. ' ' '. .- :: · ....,~.~t ;..:....-.- .-.: . .. "...,.:. ;,:,'.:'{~;.~,.:~..:: -.;. , : ... . OYANIDE: .' ~'~:'~'":" ' - .... -'?-'" ' - ' ' ' ..?:- ~-., ..<~ :,2-. . . ..." .' TRANSpORTER:'e'~i~?ATiON:' " LoAD ~ ]) ". :,"~ ~RUcK'~ .-:: ':':'.': ~:.~:t "' "..:..'.. I ackn0Wledge mbeipt'Of the soil.described a~ve and ,.:..~' '::~':' TRUCK::';"~:~:':~F:' :'rLIC:# .... '?' :"'~":' '>'/~ :;: .~ "~'.' '~::';:; "1': "':"" ' ce,,~'tHat theF a~'ili~.:ifi:~A~'~!~'~-~:~me~ ,l':i~:. b~ing"~elive red~h~.~n ,O. as.thewhenDesignatedre~e red. ':" "':' :"' "": "' :":"'"':~: ': :, '-~R:Ai~' ~i~ :':~ ':FT~r ~:~';?)';~ ~:~ ~'" ":' "::"-' '. TRANSPORTATION FEES are payable u~n CleanSoils ..... receipt,of_~~~~p~en~n~generator. DRIVER/RECEIVER '~~ ~,,~ Il, Tank~No. ~ . P,O, BOX 5295 · BAKERSFIELD, CALIFORNIA 93388 ~.. ' : ' ' N? 114,q 16 Id or Area " (805) 2'0 · · "''~." '-'' . ....,:~ .. ;:::~..:. . :, i':::' " . -:.~.. .... ". ':"NON'HAZARDOUS'::WASTEHAULERRECORD TO'BE USED FOR NON,HAZARDOUSWASTES. ONLY' .' (Generator Must Complete) .-?.i;:'. '::i.~:: .~, WASTE TO BEDISPOSED [ilk Type Hydrocarbon Contaminated $otl Name Inland Indu~trie~ L~d . Generating Location. 3012 Pierce Road. Bakersfield. CA 'Field Address :)aa:) f),~,,gl ~ ~o,~,4 . '..':i: Special Handling.. . Instructions: City, State, Zip ]~,,~"n~by; ]~:C- v5C. 6C-9 ...... " [] Gi°ves~ ' :.i [-]. Goggles [] Other Phone (~r~z,) ?q ]-~071 .~. Quantity ' Order Placed By T~m Hmrt-~n; HFA =~, DESIGNATED FACILITY Signature of.j~uthorized Age~ ~ Name 'gl -=. ' ~n~ 1. Tnt_ Date . City, State, Zip ~E~r~t ~l ~: CA Title _ Phone (RO~) (Hauler Must Complete) . · . . . ...~,..::.;.. : r. . .' Ticket ~?" Unit No. ~2 ~ / ~'~ "~:, ' ,~" '.; :";~ :..-': :t ' '~ Name ~S ~r.n~9~r[a~ton, l~e. 'Up''~ai~; '~':~/-' ¢~' Time ¢~: :' '. ,.' ·' ':" "." Pick ~ Address P,O. Rox 5295 ?~"....;~. ~:;. ~ ' NO~:'~l~'f~:,t0: ~"~d in li~ of t~ C~ifom~ ~t of ~affh ~ices ~ City, State, Zip Ra~er~f~eld. CA ~33RR ' ~"":1;'~? ':' : - . ~.~ .,: .. . H~a~.~ffest for NON-~R~US w~tes on¥ -' _~ Phone (.805) 589-5220 .... ': REMARKS? ' .'~ Signature of Authorizer ~ h~ . ~ . Date ~ ' ~::.: ::. ' :"' ~ .... ~ ?~:''.''' . . .-?.., ~;.);.~.~¥,, .., .~[] ,..'~'~ . · .... .(Facili~ Operator Must Complete)' ' ...... :' :"'~ ~ived~:':. :~ t,) ¢ Bbls. Date · ';::'-, ;.: ~ ..:;-: ':::": ' Quanti~ R~ ... Address ';~) ~ '~ > ~' :,,'~- ,z~ d~ ~ .." .'' "' .' :' :':. '"Time'... meM' , , :':; . .:.-.~ .... City, State, Zip ~, ~ /~., ~, ¢"/ ('~ (''.~ ~ ~ 0 2 DISPOSAL METHOD:' B Su~ace Impoundment ~ Injection ~~.'.-~-'," 3//. ~ - ~ (D () ~;, ~ -';~ ,.." ' . B Landfill B Other Phone -',(,.;2 ¢' ~-;) / Disp. Ticket ¢ -' ' . -.~ ~ Ream Copy To:. · OENERiTOR UNLESS OTHEAWISE ~PEClRED · Signature of Authorized Agent · Date ~. ,. / } ¢ NO~: It is not necessary to send copy to ~pt. of Health ~s. " '.. :~.. -'.~': .. . ;( ~ '-. ~ NO H~RDOUS FEES SHOULD BE LE~ED ~ ~. ~.~¢ RIRP~AI_ COPY ...... 5 397 .... , ............................... ~.-~ ................. . .......... MOD~.. ........ :. ~' · . . , :. - ' · · .. "-- . ~ .: .- .'. . ...'-: - .' ...-:"' .L' pH: ' ...... ' ~ .... " SuLF~DE~~ .. -;., . · : - ' ".:.'."...~ :':~"~.b:_'..,..'- . ....... .,..: ... .. - ~..,..~....~ · . .. "Well, Tank No. P.O. BOX 5295 · 'BAKERSFIELD, CAUFORNIA 93388 ' :' N°. 114915 eld or Area . '..",~. ~.. ': ' - : .!:::',;i'::;:;;,~:.:'¢;";;:. , "":'~':"" :.';' .... " NON4'IAZARDOUS;.WA E-H LJI ER!iRECoRD · TO..E ~, 3US'WAS~S~"ONLY~ ,'. .. (Generator Must Complete) '" .f '.'. :': ..~- · WASTE TO BEDISPOSED Field Address 2~82 Da,¢~Zas ~oa~ - :... . Special Handli~ Instructions: City, State, Zip ~=:=5'2, ~.C. ,75C5C9 ~.GIUves ..... ~ Goggles ~ Other Phone [~n/, ~ ~a~_~n? 1 Quanti~ Order Placed By T&m ~:c&n, -H~A ..~ DESIderATED FACILITY /' · ~ ~ Address 2Z2~ Date %' ~ ~ ~ ~ "[ City, State, ZiP.: ~ke=s~eZ~, CA 93307 Title ~ u~- Phone (805) ~97-27z~0 (Hauler Must Complete) TiCket ¢ Name ~VS ~=~,:~;o=t~o~, t~c. . ~ Pick Up Date ~/: Address 9.O. ~o:: 5295 . ' ~ PM '~" NO~: ~ fo~ to~ Used in lieu of t~ C~ifomb ~d~nt of Health ~ices ~ City, State, Zip ~ake=~&eZd. P~_ 9D~8 Haza~ous W~te Man,est for NON-H~RDOUS w~tes on~. ~ Phone ¢~r~ 589-5220 REMARKS: " ~ Sig d Ag ' : natu of Authorize ent or Driver ~ -- ......... ', . . ~ Date : .': ..... · (Facili~ Operator Must Complete) · ,::'.:. ........ , ,.: ': .... · .-, · : h:.,,'. Quantity: ReCeiVed :' Name "~ (-¢~ -:- ) '~'~:??':' ': "¢;~':'?~:¢':':'~; ':" :' ........... · :.. ::'...~:,: 2¥?:¢,,,~ ..,... ::.: :'~' :',~ ... Address ,2. ~ ~ ~ 'A¢" ' ' ; ·" ."'~-"'.':%:. -: ::.. " ... r. City, State, Zip "" '- .. ~D~.~-;,, ¢'/; ' ..... ' ;~ ':-f '.,~.¢ ~ 0 '~ , .'": ".,."' DISPOSAL METHOD:: B Surface Impoundment B Injection ' '- '¢ '-/? - ~ '~/¢ ,¢ B Landfill B Other Phone :..,0 ~ ,' ¢ /Disp. Ticket¢ ;~")O(~'k~?~./ .. ':;.... ~) Re~m Copy To: GENE~TOR UNLESS O~ERWISE SPECI~ED Signature of Authorized Agent '~' Date ~ ....... (/ ~/ NO~: It is not necessary to send copy to ~pt. of Health ~ices. ~ ...... ~ ". t 'i , ' ~'-~" NO H~RDOUS FEES SHOULD BE LE~ED .O.M XVS-T-~O DISPOSAL COPY · OCERT1FY~elo~owingdescrt~cornmo~- · ~ e',-~ ~ :'. .... ~T ' '-.'-.', ,, ., · · ,...., ~,~~a~ , . . .... ~,,~.~ .....~ ... . . ...:,'?? ];=, ':..,'..~ r ... . . ~-: . .. .. ...- ...... -~. .... ~ .;. 8AKE~IEt. .~ ,.. ,.' ,,'.~i- ;,. . ,.... ~l~a pana~ ~d. '.::?('"::~.' ' · ·' ......... :. : ::'"? "':' ":: ' = xt..~:'.~, '.~ .,> :,.~..-~ ., .' ..;~ ,-., .'~: ~-: .~, ~..'.' ~ : ..~..: ~,.~,~ ~ '~ . phi ~'' SULFIOE: . . CYANIDE: .~ ~'-- ~ i~':'::;'':''~.':';': ' ':' ~OAO~ . ~: TRUCK~ -' ' = ' TRANS~'ORT~R CERT~FICAT~O~= ~"-- ..- ~ ~i~ge'~eceiPt of the soil ae~'h~d=~e a~' . ... ,'.:-'.:: .- - :' TRUCK UC..~ :~""- :~ .... ' ' '1 is bein delivered tO Ihe Designated ce~y.that lhe,~l. . g .,. -.-:,,.-:'--'=." ;' :-'='.:. :., .. '~,: :.-:.'-'."':;::"- :' ' ..... ' ""' - "' .i;;'7. :"'-" ,' ,l/. /~ ;' (~ '-,-., · - Fac~,~'i~xa=t~y the ,~m~ co~a~,O,.as ~e~ ~e~e~il? ...-.:: :, :....::: .... .:::.::,~ ~RAIL~R UC. ~...~: .... : ........ ...~ ,: - TRANSPORTA~iON FE~'~.Paya~Ie u~n CiCa ......,.O~'iV~R/'R~c~iV~R ' :':- · ~_.~ ' ~e=eipt o~Y~tf,o~O'~'~a~o'.>"' '" ~" ,: ': ~'. ' -' .... ' -?' '"...:, ' '-' ell, Tank No, o P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 NON. HAZARDOUS' :WASTE;HAULERRECORD TO BE USED FOR NON:H/~.ARDOUS WASTES ONLY,' (Generator Must Complete) :: , :' ' WASTE TO BE DISPOSED : ~ Type '; H?,drn~.,~'hnn Cnnf.Rm'lnnred .~nt 1 Name Tnlnnd I.d,,.r_~'i.. l.rd Generating Location 1012 Field Address -~/,.~> n ...... ~ ~,. u .... ~ Special Handlin9 Instructions: City, State, Zip ~ .... ~,, a.C' ~qr~r~ ... DOloves .... ~ Goggles ~ Other Phone (50~) 291-502! Quanti~ - - Order Placed By T~~M~rt!n' ~.~.~ ~ DESIGNATED FACILITY Signature~ ~thorized A " Name Clean Soil_- Inc_ / ~_ ~ [ ~k Address. 2123 P~n"-" ~.oad / Date '¢- 4 ~ -~ (- f City, State, Zip ~ker~f!e!d. CA 93307 Title ~ ~ Phone (805)397-2760 (Hauler Must Complete) ' ~, Name ~S Transportation, !nc. ' ~AM ~-- Pick Up Date ,~-- ~ / ' g ~ Time / /: t/O S PM · ~ Address . P.O. Bex 5295 . ~ ~O~: lhis ~om to be used in li~ of t~ G~Uom~ ~m~mnt of ~alth ~ices ~ City, State, Zb ~kers~e~d. CA ~3~ Haza~ous Waoto Manifest ~or ~O~-H~H8 ~ Phone (~nq) q~-q? ?n REMARKS: :~ Sign~~uth~g%Driver Cle-n ,oSle ICA I?lA ' Date 3- ~ / ~ (Facili~ Oporator Must Com~leto) ... ~..., ~ Ouanfi~.:~0~0i~d ' ~ ;'~. ~ Bbl.. Dato E t..*~ 'I O ~ DISPOSAL METHOD: D Surface Impoundment D Injection Return C~y To: GENE~TOR UNLESS O~ERWISE SPECIFIED Signature of Authorized:. ¢-- Agent ,"/ ' ,, NO~: mt b not necessaw to se~ copy to ~pt. of Health ~bes. .'.?; ,, /~/ NO HA~RDOUS FEES SHOULD BE LE~ED ~Vell, TahOE No. ° ': '. P.O. BOX 5295 -..'BAKERSFIELD CAUFORNIA 933881 '~:' ii'il; '.', ~c~'.~ield or Area - --- .:::' (805i:.589-5220 ' ~i :'i~'. '.?;:. NO. ~. 1 49 13 "' NON."HAZARDOUSi :'HAULER iREcoRD " .'.'-'TOBE.USED.FOR NON HAZA'RDOUS::WASTES: ONLY, ,::,... ,..' . -- · . :.;,-:.r.;,... , :~,: ,- :.. ..... . ..-...,~ .... · (Generator Must Complete) · ~..~...,:::.?,¢~;~'.:,~;~.~;~'. ' ,. - · .... ~: : ' '~:.':~' :,'~;;?,",~;_;;~ ,.~;.!:, ". '.i: WAS~,~,T,:.O~,B,..~I.S. POSED'' · '-':.' '~-.',~- . .. . .:-: . ~ --! ?: .:~:,;.:%¢.;i;~i~?.i:i?;?~; ." Field Address 248'_) _no,_,~l.__. _~_,_,~_d ".i.;:' ,,i/'-'' Speciai'H'ar~ling Instructions: ,City, State, Zip R_._.-,~_.,by~ _A_C~ .v5C6¢9 I-I.Gloves;'. l'-IGoggles [] Other Phone . (A04) 79~_-602! ' . Quantity "'": ' Order Placed By 'r~., ~f~-r~n. u_¥A .k, DESIGNATED FACILITY ' '" Address 2!23 _"_" .... ~.cad .. Date ,7- t - . .' . City, State,.Zip;~:'- ..~..¢~.~ ~ 93307 -' ~itle ~ ~ ' .... ' ............. Phone. (EO~'~397'27AO ~' (Hauler Must Complete) -:. r,-...;;,.;~;~::~..- t '" Ticket _ Unit No. / Name ~g ~n,pnrr~r~nn; fnc, ~.~/~ ~ ~ AM Address P.o. gn~ ~295 Pick Up Date _ ~ Time NO~: ~ form to be used In lieu of t~ Califom~ ~nt of ~aEh ~es City, State, Zip ~.r~f t. ] a: CA 93388 H~a~ ~e ~ifest for NON-H~R~US w~tes only. Phone (~) ~R9-~22~ REMARKS: .?:' .' ::- : (Facili~ Operator Must Comple~ ' '.' "' Quanti~' Received' '"':¢~ ~ ~ Bbls. Date 'G%:Name k .L.¢,. ,.,~ ' · ;.... " ./.. :.:". :.: · :~ Address ~ ~ ''~ '-' V' . ....... -.,-, C.4' ':( :~:~.~.:.:: .::. ..... .. .... , .. ' ,,,,. ' ,.'.:_ ~: :t'" ::'"".::.':: ' ,". ?: . ::;?.,. . 'Tim~ , ~ City, State, Zip '!'¢~'..:' , ..._ . ...... ~ 0 ~ ':~ :"": .... . ' :':":'" ':;'?'":'"";:;;" ':: "" DIspOsAL'METHOD:· B Sudace Impoundment Injection?; ~ , t.-. .:,. :.... ~.' B Landfill B Other ...... ., - ::' Re~ c°Py .... ' ' OENE~R UNLESS O~ERWlSE SPEClmED Signature of Authorized Agent ..... .,, Date ' To: '~ ' :"~ ' ' ~: ............ '% /"' 3 ' NO~: It i~ not neces~w t0 send copy to ~pt. of/Health ~rvices.. ............. NO H~RDOUS FEES SHOU~ BE LEVIED ' FO,U K~-T-20 DISPOSAl_ COPY . Bakersfield, cA,s? .... . :~.. ell, Tank No. · P.O. BOX 5295 · · BAKERSFIE.LD, CAUFORNIA 93388.; ~eldor'Area : .~*' (805) 589-5220 - N°. 114912 '~' ' NON- HAZARDOUSi:WASTEHAULER :RECORD · TO BE, USED FOR NON;HAZARDOUS WASTES.ONLY .; (Generator Must Complete) - '.?~!ii:i~!i:/'ilf/ ,~ :-' . WASTETO BE'DISPOSED Ci~, State, Zip a .... ~.. '~ ~ ~o ~' ~ Gloves;,,: ~ Goggles ~ Other '.. :?. DESIGNA~D,FAcIuTY · Order Placed By ~ ~,~, u~ ....... ' .......... Pick Up Date ~ Time /Z'~ ~ p~. Address ~.0. ~a~ ~2~5 ' Phone r~n~ ~o_~3~n REMARKS: Date , ";'~' ,, (Facili~ Operator Must Complete) .,'.::' Quantity Received '~2 ~. ~ ~- Bbls. Date t: ) r , , ,..~ ,.~ ~ O ~ ' ::,' ' DISPOSAL METHOD: D Sudace ImpoUndment ~Signature of Autho 'zed Agent .~,~;, NO~: It Is not n~es~ tO'se~ Copy to ~pt. of Health ~wi~s. . ' "~ NO ~RDOUS FEES SHOULD BE LEVIED .o.~ ~VS-T.~O DISPOSAL COPY "'~c BAKERS~!,~ 2123 Panama Rd~'~' '.:.:.~ .... ;' ~ '~RO~ SCREENING ' '~ :' ~':'' ~ ;:-[""~"?:;;ii;;:i!";!;i.:~ .......... ~: lbs TONS ..' :~.~;~...?-;.: .:' .... ..~.. ........ , LOAO : .... ~ ..... -.,: .> .'.';'.~..;..~'}~ ~:" L....,':~' '..'"~ .~ . "i a6~6Wledge'.'~ecei~i6fih6~ii~~i~ed a~e and ::-,.. :~-~'--'". ' - ·::.::TRUCK LIC;:~.~:;~~:~''~:'' ./~' '- - ce~y t~at'ihe'~il i~'~'i~dd~ii~.~a.'i~"th'~.D~signated" ' ' FaCility"in.~X'aCilY th'~'"S'~e':~a~n'~as?h~n received. ': "-'-:'-~ '~ ~AiLER Lic, '~-~'~I.'~ ~/-:~. ?'."..:'" TRANSPORTATION FEES are Payable u~n CleanSoils . ' . ~" ;' 'r . .'";~' ~'"'~"'"~',~" .. ' receipt of payment frO~ ~generato. · ' D~er ,x~~'~ '~~~" "- ~ .'Date' '~/~/~[ ;Well, Tan,k, Nb. .r - P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 ' '- NON'HAZARDOUS'.WASTE :HAULER RECORD TO BE USED FOR NON'HAZARDOUS WASPS' ONLY ..... ~ .... ':~-- "-' ...... .(Geperator Must Complete) · ' '. ??..'.':: ::;' ". WASTETO.BEDISPOSED ~Name I~d Industrie~ Ltd . Field Address 2482 Dougla~ Road Special Ha~ling Instructions: City, State, Zip Ba~aby. B.C. VSCeC~ ~.GIoves'-':~ Go~s ~ Other.. Order Placed By Tim Martin. HFA ~ DESIGNATED FACI~TY Date [ 7-~ [-'~1 L/ ..... City, State, Zip ~*~rsfi~&d. Title ~ --~-.- Phone ~ (Hauler Must Complete) :.: .:¥?,:. " ' Name ~S ~a~po=~a~&o~, Zn~, ~' ~ D AM City, State, Zip B~er~field, ~ 93388 ~ Haza~sNO~: ~W~teform ~nifestt° ~ ~edfor NON-~R~usin lieu of t~ C~iforn~wastes~d~ntonty. of ~alth ~es Phone (805) 589-5220 ¢ ~ .: REMARKS:..:',:7 Signature of Authorize¢ Age~ o~r . Signature of Authorized Agent </'~.~, Date Re~ c~y To:. ~EN~TO~ ~NLE~ ~.(.-.. ;.. ,:/~/ NO~= It is not necessary to se~ copy to ~pt. of He~th ~rvices. '- ...... NO H~RDOUS FEES SHOULD BE LE~ED ~o~u ~VS-T-~O DISPOSAL COPY BAKERS := . J:-TARE TRANSPORTATION FEES are payao~e u~ ~u~ DRIVER / RECEIVER '':' ~:'~< ': ' - J-'~"~- P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 W~, II, Tank No. .~--,. ~¢ld or Area .- (8os) 89-s22o N.© 1149 0 NON-HAZARDOUS WASTE. HAULER.RECORD TO BE USED FOR NON-H~ARDOUS WAS~SONLY (Generator Must Complete) WASTE TO BE DISPOSED Name Inland Induscrle8 Ltd GeneratingLo~tion . 30]~ PierCe ~_eed. ~keref!e!d. ~_. Field Address 2A~2 ~.g]~ R,~.a · Special Ha Instructions: City, State, Zip ~.~n;~. ~.~. v~cA~ . ::,,.,, · ~ Gloves:::~'~,~ Goggles .~ Other · ..: ,.,~:.?~ .? Quentin.~,~. ~' phone f604~ 291-6n21 ' .' /.'-" Order Placed By T~ ~rt~n: UFA . . ~ DESlGNATEDFAoIu~ Signatur~uthorizedXg~t ' ~ Name ~!e~n Se!!~ .., ..... . . :,.. Address 2 Date "; ' ~ ~ ' 5~1 · City, State;:Zi~;'~;: '--~--¢4 ~. Title '~ L-- ~, ""' _ - · .~.: Phone ~. . .. ':: :,,:,~.::.. : Tic :~; UnitNo.~R / .-.... ?..,, . :.,.:2~..:. , ,. ~ Name ~S Transno~t~t~on, Inc ":"' '' ""' ..... .... ~ ~:' PickUP Date~ ~/ ~ Time ~ Address ~.0. ~o~ 5295 "~.,~' ":, =, ~ ' NO~: This. form to be used in lieu of t~ Californ~ ~d~nt of ~aRh ~ices ~..~ ' City, State, Zip ~eke=s~&e[d. CA 9~88 " Haza~ousW~te ~ifest for NON-~R~US w~es only. Signatu~ Authorized or Driver ... ~!e~n'$e~!~ ~6A 1234 Date d ' ' (Facili~ Operator Must Complete) ,.,:,..~ '~,',' : :', - ;,'~' ':",." ~'¢:':'. * , ' ,'::': .~,-.~"-' "' .... ' Quanti~Received.', '¢ ~'~ 07 Bbls. ~ate t' '. '~ [~ · ~ ,'. . · ' r:' ',.'~;~'.~ .......~..: :. . Name ', k ~.. ~,, . .) .. ::_.~4 ..~?~',::. ·; - '~:',?: ": · ..,.~ .. B AU Address r k ; ~' ,. .... ....~.; ~. ' ; ..,. ,~;: :. Time D PU ' ' · ~':.... "~'F.~. . City, State, Zip ~.- L.~.,* ~ t) , ~..., ¢ - ".. DISPOSAE.'ME HOD: B Sudace Impoundment · B Injection Phone :".~,;X'-'-' ? ~- ' ,;W O~ / Disp. Ticket ¢ ';~ ('~,~("" ~'~-" ~/ " ' :/:'" Ream C~y To:-. GENE~TOR UNLESS O~ERWISE SPECI~ED Signature of Authorized Agent :;'¢,/. Date ; _ , NO~: It is not necessary to send copy to ~pt. of Health ~rv~es. ....... ~..(. ~. "~' NO H~ARDOUS FEES SHOULD BE LEVIED ,o,~ ~w.,-=¢ ~IRPORAI._ COPY ..... ~.!.~ ,..~: ......'.. ?;' .'...,;.., './.. .-.',.-.;'~,: ..... , · .. · . .., . ; ;:.Y ~~..,.:.:.: ~.. .'~.,..' .. . , ,- : ! , . t ...~: ... ,T1;l~lSTOCE~ll~.~,lelolloV&,lgde~bedffi . .. . ..:.,... :... - . : ~ "~. .~. ' ~ W~s we~, mea~'ed, O~'~r~ W " v,'e~-g~, . ~ (~ :.' · ; . .,.,,,'~. ~'PANAMA~ .~?::~,~,::,~.:..:::_¥~.,~ DATE': · ,... =.,:-...;_........ ., .... -. 2~23 P~n~m~ Rd.;:.?" ;.~:.:.].~..: ';;~-~?';;.~ ~;..:.:~:?-~;~¥?;~.':];..:::/,'.,-.?'~;~ ...... · :-:.;' ...:] /.."=;' ~. Bakersfield, CA'93307:[ ".?,''' .; ~.;;'.:¥::;.?';'~.'..;:'.?. ~..~.~....-.;.-,-'~¥,.:=: :'.~;]:::'= .:.....,: ..... . . .;~. '";-.: ::' '~"'~' ' '~'~'~'" :.' . ..:~'.'~-]nb0Und ':.;~ .;,.,"," .. :. :..::~.?:~ .... . ; .... ...., :.. '.,,=..-.'..,=?~:~-/. ~. . . . . _ ;.-~.:: ," ~/~ ;~ :' ' ':':' pH:' '-' ': ' ~-'"'~ " ~::';' SULFIDE: ~ - .?"-. - ~'~ ... CYAN IDE:. ...,'~ . . ~ ~- TRANSPORTER"CERTIFICATION: LOAD ~ ' TRUCK ~ ' ........... -. -.9., ...; ..: :¢~ TRUCK ~JC. I acknowledge receipt of the soil described a~ve and Ce~Y'that the soil is being deiivered'to the DesJgnated " ' Faciii~ in 'eXactly th~'s'ame'cond~ion as whbn received."TRAILER J' T~°~J~?~o~E~;~r~:~,~'~u~nc'eans°''s.p py - g. '.... ~... oRiVER/RECE'vER, Well, Ta, n[<I No. ~. ¢, P.O. BOX 5295 .BAKERSFIELD,'CALIFORNIA 93388. ": NON-HAZARDOUS· WASTE :HAULER,: RECORD· TO BE USED FOR NON-HAZARDOUS WASTES ONLY ~ (Generator Must Complete) -,' . , :";d,"..~-'...~ i.'~'.~ WASTE-.~TO BE DISPOSED ' Name Ialand I~dustries L~:d · Generating L°cation. 3012 ?~a~ca-Road. B,,karnf~eld, CA Field Address 2482 no,_,S]_as ]~o_-d : Special Handling Instructions: City, State, Zip ]~_,--nn_hy~ B:C: v5C_-6C9 [].Gloves FI Goggles [] Other Phone (60&)_99!-607! Quantity c,_,b~,_' ¥-r4~ ~&.- . Order Placed By T~m~ )4, rt ~n, HFA m~k DESIGNATED FACILITY Signa~.r.e.qf Authorized Agfltnt J " Name Date / q'- " Title ~ ,_~ t.,~. Phone (8-n5) 397-_77~0 , (Hauler.Must Complete) ... ::.. Name k'vs Tr~ln~c~rr.qr'~nn; ]'n~': , /., [] AM " ~ Pick Up Date" ,~-- ,~ J -~ ~ Time ¢ O ,[~PM Address P_r). ~n~ 529~ .' NOTE: This formto be used in lieu of the California Department'of Health Services City, State, Zip R~,~-,~¢.I ,,'1 rl; . C.A _q~R_8 Hazardous WasteManifest for NON-HAZARDOUS wastes only. .-. Phone f~f)~'~ ~q-~??n City, State, Zip !'.- .1¢..¢~--,/';: .'j !'i ,~ ----- L..) .'~ ~O '7 ;" DISPOSALiMETHOD: [] Surface' Impoundment' [] Injection - Return Copy To:.. GENERATOR UNLESS oTHERWISE SPECIFIED Signature of Authorized Agent .~/,¢ Date' ' _~. -?¢-/ · NOTE: It is not necessary to send copy to Dept. of Health Services. ...... 7( .... : i // " NO HAZARDOUS FEES SHOULD BE LEVIED ,o.~ Kvs-~-~o DISPOSAL COPY Bake~'sfield .~il lbs GROSS ...::..'...: :' .:: .... · ' TARE DEPUTY ~:..,.:~.~:.. ,'NET sULfIDE.,, ~.~: .::.., :......:..:.t:...-.~,;;~:,, .-:.. :,.:.. ;,.. t' '"..;--", :. . ...::¢, ,...:.:..;;.~:;:: · .:..,~....,.:..: ,:. ,.:... .t~ . . . , .. . . . ~.. ,. CYANIDE: '¢ - .... :'"':':' :" "' ~D ~ ] "1 TRUCK ¢ ' '"' "' . ATION: ' ' TRANSPORTER CERTIFIC ..~..::'. ·' t __ _ __~.' ' ~a~/In ~ · '~::.:'¢¢ ) ~', ..... ' '~ -- ' ' .' ' ' '' eda~veauu .... .. · : . /n~v~-. ..... .~ ,... . , . I ackn0wledg¢.re~tP~ o~:t~e ~:~!.de{CflO Desi nated "' "' '"' ' ~.''' :':-":- ::::':,'.'::::~%:~):-'¢ ~'~' ~:: :' /n~l~r;v,~---'.~ ' ' ' "'" '-';'"":':f-t0r' ' - · . ...... .,. ....... : · ., .....-, .: .: :...-,..~.,- r:._,,;.: ~....?;:¢...:- -. ,..; .. .-~.~,::'/'.::::'. .'-.' ~.:: ::, l':?'.'z....' ... ,',.'.':" :: .~,.: "Well, Tank No. P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 'Field or Area ~ '~'-~' (805) 589;5220 ' ' NON'HAZARDOUS :, WASrE':HAULER, RECORD TOBE USED FOR NON'HAZARDOUS WASTES ON/Y:" ~ (Generator Must Complete) · '~ :,:, WASTE TO BE DISPOSED Name _. Tnl~tnrl Tnd~=~rr~es Ertl Generating Location ' "{NJ? P'lm~'~.e I~d: R~lc~.~'~E,l~ld; ¢~.A Field Address 2482 _n~,_,~!=_- p.o_~d Special Handling Instructions: " City, State, Zip -~-"-"."--"bT, ~.C. VSr'_sr'_? [] Gloves_ [] Goggles [] Other Phone r~n,~ ~ ,~o 3 -~;n? / · Order Placed By ~ ~_!F.~_ ~ DESIGNATED FACILITY Signatu_~/~f Authoriled Agent. Name CZ-_-" $o'~1s [nc. Title '~ ~-'~ ' Phone ' (805)397_27~.0 ~ Ticket ¢ /¢~ . ~ Address ~_0_ 80~ 5295 '" Pick Up Date':.~']/' ~ Time BPM City, State, Zip ~"v'~"¢~ ~1 ~ P~ ~88 NO~: This form to be used in I~ of t~ C~ifom~ ~d~nt of ~alth ~es . - .......... ' --- Hazards Waste Manifest for NON-~R~US w~tes only. ~. - ........ REMARKS: Signature~uthorized Aa~ or Driver City, State, Zip :'" ';'- '~/:" ~ '-- '~ -' - .'. DISPOSAL METHOD: ~ SuHace Impoundment ' ~ In ti~n Signature of Authorized Agent ~'->~ ~ Date Re~ C~y To: . GENE~TOR UNLESS O~ERWISE SPECI~ED . -/~., ,, (.../~ NO~: It iS not necessa~ to send copy to ~pt. of Health ~ices. " .... NO H~RDOUS FEES SHOULD BE LEVIED FORM KVS-T-20 DISPOSAL COPY s SCREENING F ..... TRANSPORTER CERTIFICATION: LOAD ~ ~::~ ~ TRUCK ~ '~ ~':':?=": "' I acknowledge' ~ebeipt of the sqil describe~'a~ve and . TRUCK LIC..~'' ~ .... ~" '- '" receipt'0{ pay~ent-{~0~ clienugenerator. ' ..... . .... -" ...... Well, Tank No. ,~, P.O. BOX 5295 · BAKERSEIELD, CALIFORNIA 93388 ~ield"0r Area ' ~.' ''~' ._ .. (8o ) 8.9,¢22o N°. 114905 · ' NON- HAZARDOUS;WASTE HA ULER :'RECORD TO BE' USED FOR NON'HAZARDOUS WASTESONLY ~' (Generator Must Complete) -' .~. ' ";.?il;::~!":~?.' ~ .... WASTE;:TO~BE;DISPOSED Name _ In]aaa Zna, scrs[e.~ ]~'~_'d '" :,'~;'."";',..;i. Generating Location . 3fll ? p~,~,-,.,,. R,,,,,~_ ~,,~,,,.,=¢4,,3,~ Field Address 2/:82 D_,:,,_,G!a~_ ?_o-~_ ' ;': ' :. Special:Handling Instructions: . City, State, Zip ~ .... ~,, ~ r~.. VSr,_~¢~ .. r., --~"7--' ..... [] Glove~'- -ri'Goggles [] Other Phone _ (604) 29 !-6021 *.- Quantity .,:, -... .... .. Order Placed By T~_~_ ~_~±a. ~..~A DESIGNATED FACILITY ' Signature of Authorized A~ent ~ .', ~ "~ ~::,.'-" ': ~7 -' Name ' ~ 2',,,. ~,~ ~ ,, T.,. ._ ~ \,~---.-'1-'-- '~,...., ,., :,...:?,: ..., .... . - .... / .: ':.: Address.. 5'~ -~'~.. ~-..'~.~.. Date * ~' I - ct '/ "-'' ..... tate. Zip~:.: ~ ~z.,... ~= ~ o ~ .~ ,** Title .. '~-~-: ;",;;; ~-:, '. -': :~: ' .?:" 7 .......... 3 Phone. ~ ..i:~: i".,; ;i.:'. - ."' '¥.' "' ':C- - :i'::L'!; . :.. ' :~ it /, ..,,... ~ity, State, Zip R,,~er_,~:~_,.!a~ p.,~ _~8¢j NOTE: This form to be used in lieu of the California Department of Health services ~ ' . Hazardous'Waste. Manifest for NON-HAZARDOUS wastes only. ~r-. Phone (~n~ ~R(~-~??n '-'. ~ ............ RE :.'~' ~ " O Signature of Authorized Agent or Driver ':" .,' '. '" ' ~...'" ":"-:' '.i Date . ~<.~.,. . .':. (Facility Operator Must Complete) ' Name ;;' ~.e. ~ .... ..~ ,~ ..-) .... :.'.i;::';.. .. · . ~ QuantitY Received "~ (')- ~ Bbls. Date ' Address ';;; \ ;~ ? -:.'~', .. ~,; i i [] AM ~ , ., :.' Time []PM City, State, Zip ',, .i"¢~ ·~; ,_~.1 ~/~/:,~:.., , .~ ~,; ?~ 0 7 DISPOSAL METHOD: [] Surface Impoundment', [] Phone ...... i ? . -~ -;, ~ / ~:) / Disp. Ticket # : ,,, r ~/~O ~. ,~. ~' . . , .~;,.. [] Landfill [] Other "~ ' '1 -- '~' ' '~ ' Signature of Authorized Agent .~. Date" Re~u/n Copy To~...... a"#ERATOR UNLESS OTH"RWI$~= SPECIFIED ' .. ., ' ' , : NOTE: It is not necessary to send copy to Dept. of Health Services. ! .' ' ;'--"' '" ;'"" '/ '/"/ NO HAZARDOUS FEES SHOULD BE LEVIED · ~o,~ Kvs-T-~o DISPOSAL COPY' ','- ' -' me'urea, o~ ~n~ '" "':~'~: ;':'":':~":"'""':' '" ":"'"':'"" :"~"::~"' ....... ',~-' :'::~.' : :. ;, .-. :~-~:~,.~ ~' ?:~i~:~' '" ....... '" ? '-~ lbs GROSS .: .... ::. ..... . ,;..~., ............. . :..-..~..-?. :.....:?..:.:-:::.. '. ....:...:.. ? .: .... ~.:' TARE NET .' :""':'-::.L :. )S'TONS SUU~6'E:.:' ~ ~ ..... .. ~.?.~::~: .- .'..:_~. . ~:'~.~:~.. ..... ~.. . ...:"}:.-. : .-.: ....... . :. :~ .::' ~....,_.~:...:... ~.~.,~ ;~;":;;~E:'-"'.' """: - -:"-~' '"~' - ¢}. TRUCK ~ :.:,`:: ::: .;. :.,.... _ ' LOAD N TRANSPORTER CERTI~.ICATION.:;-' :' . _ ..: ~:'~"-'"'~'"" "': · '""""'.' '" 0f the SOil described a~ve an~ . - ~:,'..::.-..:;~...:~.'~ -:,/HU~ L ~.. "'' · . . :1 acknowledge, rec?t ........._ _~,_,,~n , ~,d- .'- · · · .,..~.. ~..-.:.:: :?...':.:.'-? .':.:' ?~-.z....:j J.~, ~, )-.<.'- ~,.- , . b~v't~at the:'~l ,s betng dehyer~,?:U.~.~es~nyt:; '..?'-,'::',::' '"TRAILER UG ~'t. [-'~ ..... ¢~'~'~h"~{l~'th~ :sam~'~nd~i°n'as ~nen r~e~v'~· ;.=" ?'''; '~''::' ,'TRANSPORTATION FEES-are p~ya~!.e U~n . -. ..:- :.'.,:;:-.DBIVER / RE~.~!~;~R': .... . .... .. I' rec:i'::~-[~J~;~,"f,nm'e ~u,-~'"='" ~'; - ::- .., -~li~n~genbrat°r'.-. ""' ' ' ,' ~,jW, ell, Tank No. P.O. BOX 5295 · BAKERSFIELD, CALIFORNIA 93388; , . . '-.. (8o ) 89; 22o : N9 ~14935 Field or A~ea ~ ': NON;HAZARD ' ..... ' 'TOBEUSED FOR NON~N~RDOUS.WA~SONLY,/",". (Generator Must Complete) .' ?'~.,.'~": WASTE TO BE DISPOSED Name Z~aad ~a~usc~es ~d . Generating Location 30~2 ~$e~ce ~. Field Address 2~g2 D,)u~la~ Rnaa Special Hailing Instruction: City, State, Zip Sa~a~, ~. C. V5C~C9 " ~ Gloves ..., ~: Gogg es ~ Other Order Placed By ~= Nar~n, HYA " DESIGNATED-FACIUTY Signatur thorized .' Name ~1 ~an: ~o{.1 ~ The_ Title ~ ~ ~' ' Phone (R~5~ 3q7-~7~0 Address ~.O. Sox 52~5 Pick Up Date City, State, Zip 5aka~a~$e~a. C~ ~33~8 NO~: ~'fo~ to ~ ~d in I~u of t~ C~ifom~ ~nt of ~th - ~-~s~te ~nEest for NON-~US w~tes on~. " Phone ~805)589-5220 REMARKS: ,? . · ... ~. · .. ;~ :. (Facili~ Operator Must Complete) ' ' r '~ Quanti~'-"R~ei~ed :?~ ~ -' ) (} B'bls~ Date ~ City, state, Zip )'~ ~' ,~ ~. · ...~"/) (_ ,:,..~ ---).~ ~ O 7 DISPOSAL:METHOD: B sudace Impoundment D in ~ Re~ C~y To: GENE~TOR UNLESS O~ERWI~E ~ Signature of Authorized Agent , '-/ ~ .L~ ' , NO~: It is not necessa~ to se~ copy to ~pt. of Health ~ices. ~ ..... ' .... ~" "' '~ ~' ~ / ~ NO H~RDOUS FEES SHOU~ BE LE~ED ~o.u ~-~-~o DISPOSAL COPY .TRANSPORTER CERTIFICATION:'~ LOAD · Fac ~ e y '. ..... · TRANSPORTA~ON FEES ~are payable u~n CleanSo,ls · receipt of p~y~ent fr~!ienFgenerator. , . · . .: . . .. . · ~.~. ell, Tank No. P.O. BOX 5295 · BAKERSFIELD,'CAUFORNIA 93388 i. '~ (805) 589:5220 N9 114904 . eld orArea - 'NON-HAZARDOUS..WASTE'HAULERREcoRD TO BE USED FOR NON'HAZARDOUS WASTES ONLY ~ (Generator Must Complete) "...~ . ...,' WASTE'TO BE DISPOSED -- Name I~and Induatrie~; Ltd ' :'" - - GeneratingLo~tion 3n1~ Pt-r-- ~d. R-~-re¢ie!d~ CA Field Address 2~8~ no,ag!aa ~ad Special Ha~ling Instructions: City, State,~ Zip ~.~.~y.. ........ ~-~ "v~m~C9 ~ Gloves,., ~ Goggles ~ Other Phone {6ma) ~9 !-6021 Quanti~ Order Placed By T~ ~=rr!.. HFA DESIGNATED FACILITY Signature oCuthorized~t ~.. Name C!~-~ Sei!~ Iac. . Title ~ ~ Phone · - ' - ,,. (Hauler Must Complete) . ~.,: ...... .; . :~ City, State, Zip ~kcr~f~] d; CA 9]~88 NO~: This form to ~ used in lieu of t~ Califom~ ~pad~nt of ~alth . ~ Hazardous W~te Manifest for NON-H~R~US wastes only. ,(~ Phone :~ .... REMARKS:. ' . ~= 'Signature of, Authorized Ag~n~ or Driv~~. _ , (Facility Operator Must Complete) Quanti~ Received '~ ~. ~ ~ Bbls. Date V DISPOSAL METHOD: D Surface Impoundment D Injection Phone '-~C ~ ~'~-~-7~/~2 / Disp. Ticket'# ')~")[~ ~-~! / ~ Landfill ~ Other Ream Copy To: GENE~TOR UNLESS O~ERWISE SPECIFIED Signature of A~thorized Agent .~Z. ~ / Date J~, ',,, ~.,__ /,/,/ . . NO~: It is not necessary to send copy to ~pt. of Health ~ices. ',' , -,.¢' ' '- " NO H~RDOUS FEES SHOULD BE LE~ED ~o-- ~.~.~o DIRPOSAL COPY ,ll --. I l','i ':::': '; I H ' TO' ll'l : ::' : 'i'1006 ' l'l ~.../... :: .... ....~::..:':.'.~ ,.. ',~;;.~:~. ,~ ........... ~ ,::....: ':.~ .: ......::~..:~,~-~ , .,,-: ,;:.....:~.~ ::.:':.. I /'," - ~ . :.>-:....~.,~..f:.~:.. '+~';.,:-~:~tc~~~~~7(~'r:~;,,..::-'-.,.: :-' ~;~:.. :-: ~ .'::~:~:~.~:~- ..:f~:.~::.. .... ~.. 805 8~7~7~0~::.:~'~,,..-..-~?-:~-:,.~<~::.. ~-:~ ......... , ..... ......... ,.:~?:;-..:~.:,.,~.;~: .--~.~:'..~,,...~..'~....:~, .... ~:~...'~;':.-~ ............ ' ~[l~'~l ~..-..:...: ~, :-,:~ ~:...~'.~:'-: ',....;' .f'~.~.:: :"_ ...~ '~:.::-. :-~¢::.x ~ ..., .:.:.'~ ,, ~,. f::~::,.;:.: :;'' ~ ~. ~:..~::,..:?: ~:T:~.:~...-..:,.:::.::~ .'~:::~..:,~;.~: ~¢~....:.. ~r;....~.. .... ' B~Rersfiel~, CA S8807:.::.~:::'~:-.:: .:':. · : :.' .' . '.-" :'~.':,:.~..::;.:~' : . : . ..: '.:~. ;.. .... .......,~..~,~ · ... · ' '"f";:~f.':': '.-' ' ~:::' ..:~,~::'r),V ~:?':~:-:'"~ ':' .~::-'::'::;:. :-:' :-' .~'::'.'::'~': ~f'~ ~.':.::;::: ..'.?:~'~=:~': .':'<; :' :' -~ '~"~' ?r":~"':~,~'~' - ~ ~ ~ ~:.': ~:' '.~".:,': ;:::'-;;".~"~::~r' :~i:::-~'~?~;~::~':'.' ': ;. "' -::~.. '.: · ::.::.~::,~. :~..,...-;...: :~::~ ..:..:...',.:..:.:.~.~ ~:.~:¢~-:._ :.,.,'; :. ~-2] -.~. :[~t~ ':.. -:.-. ;':'..'..~:~': :'~:'.-;;~.;::::.'.:- . ':. .' , ', :.' :. :~..~-.t :~ ' ~:;~.....~ ~.:' - ' ~: .. "..~ .~d '.'.~: ~ :'?~- :*'.': .... '.: .: :.' A ' ,.... '~: - :: . ~.. ¢~ ~ .... ~,-..,. ,~...' ~ . .~.'- ........... ': ~:~'-~- ...... '~' .... ' .....: :'' '"'" :":' ......... ........... "~'~'~'~' (~). ~'" O ~'~"~'~':': :'.~ lbs ~RO~ SCREENING RESUL~8'~::~':~:?~'.' .' :'.;':;.": .':. ': ~:'. :':,' :"~'.:":.::'.':~;;¥~'~'~:::.':.~'~T::' ':::. :':;~ ;;'~' ~'~: . ; ...... =.;.:, ,.., '," '. ": . · .-, ". · ." '~. · : '..:f? f: .-,:~b:~:2~::: ~ :¢ -. ' · ".:':-' '.:'~ ~: ~ ~H.: :" /.q;- ~'~?;-:.:74:.: :.' . ~:-. ':.' ':" .' :':~x::".. ':::::. ~:~..:. ~ .... .::~. ~;:. :... ~.. :.'."..-:.: .'~ .:::.~: . :..:~X'lbS TONS ~ ' .~-" ~--". '." '-":' · ' :" '.'. ,' ~ ~' ' :- .~':'~; 7cl.- . ':'.'- '--' ::'.. '~"1~"'-- .: ' '. - :' ~"k [''I ' '~ "" . :"'~ ..: :" SULFIDE: ~': .... - " ' .:'..'.::~: ."/ ' :.- .., '. '.' TRANspORTE~'CER~iFIcATIoN~.- :. :' . ':::" L°AD ~':' ~}¢ :5 ' "TRUCK I :;?'? "~5:.' 1 ~'.."~': '::: ::' ::"'" .!'ac~0Wledge rec~i'Pt:~{'~:he'~oil described a~e' and' : ...... ~:;',~ ,'~. ~.'....':..': -: ce'~y that the.'~'ii i~:bb'ing 'delive~b~ to' the Designated':"::::: .";' ::':' :. '.. ":::" :.[.~.:L[~;..~ ,..,:,-:.., ,.. ,., ~.:~'~:,~..~:~ :; ~ :;~; :::: -.. Facili~ in exactly the'Sa~e 'Cond~iO'n as 'when received. ·.' ; :..' ' yR~ILER ~iC' ~ '. $:' ;'::"~/? '~2~.. :-',;': ~-:' "':'" TRANSPORTATION FE~S ~re P~Yable U~n cieanSoils receipt 'o~,~ym~nt fro~,~lienVgenerator. DRIVER / RECEIVER . - '. P.O. BOX 5295 * BAKERSFIELD, CALIFORNIA 93388 .'-.../,. ' "' ". NON'HAZARDOUS W~E HAULER~R~C0R ' TO BEUSED FOR NON'H~RDOUS ..Name_ Inland Induscr~e~ Lcd Field Address ~ ! ~ ~ ~ oed Special Handling Instructions: City, State, Zip ~b~: B_C V5~6~9 ' ~.GloveS ~Goggles. ~ Other .... ~ .... ':'.:. Quanti~ '~ DESIGNATED FACILITy M 'Phone" ' :' _ ust Complete) "'. ..... ' Sign of uthoriz~nt or Driver ". · - ,~ " : (Facili~ Operator Must Complete) ~E~ ~D:.;~ ¢;-B,Sudace Impoundment 'B InjectiOn K~-T-~O DISPOSAL COPY "' "NO'H~RDOUS FEES SHOULD BE LEVIED · ~/'~ , . . ~..' / ~ 3 .~;~.' ;~:: :.;'~;,..,' ,.t~,~'~ : '.,.' - ~ .~ , : . .. , ~ ~. ~, · :. :.. .-,..~.-,.-. h..~,.- ,., ., - : TflANSPOHTATION FEES ~re payable u~n OleanSoils receipt or'payment from clienUg~nerato~. DHIVEH / HEoE!VEH': :"'-~. ~ ~ ...... <...,., ,,m .~,~ ~.~';.,,~-'~.: ,L(J., ~ ~=; .,;.~, ', , ~ '. '' -' '~-?' ' ~" ':"'-'""' " '~ " '' ' : L"'~ ~ : ' NO. -' ~. P.O. BOX 5295 ,. BAKERSFIELD, CAUFORNIA 93388..:: ~:ield or Area (805) 589'-5220 ' :-~": NON,HAZARDOUS WA EHAuLER.iRECORD TO BE USED FOR NON~HAZARDOUSWASTESONLY ~ ~ (Generator Must Complete), ~: :,~,~." i,:.:,' WASTE TO'BE DISPOSED Field Address 2482 ~o~, ~o~ Special Handling Instructions: Order Placed By ~$~ H~$~, ~ ~ DESIGNATED FACILITY Signature of Autho¢~ed Agent ./ .~ Name C~ea~ $o~ ~c. ~ , - ~ AddresS.2123 Pa~ ~ad Date / ~ 7 ' ~' ' City, State, Zip:,. S~er~eid~ ~ 93307 Title -~ ~X , Phone- (805) 397-2740 Unit No. / Name ~S ~ranSporcacion~ [nc, '. .... · , '; ~, .,'Address P,O, So~ '~2~5 Pick UPDa{e ~'~/~ ~ Time. D P~ ~ NO~: Th~ fo~ to be used in .~- City, State, Zip ~ake~e~e[d ~ CA 93388 Haza~ W~te Manifest for NON-H~R~US w~tes on¥ ~ Phone (805) ~8~-~220 REMARKS: ~ Sig~u~ of Authored Agent or Driver ~ Clea~ SotZs ~ t234 (Facili~ Operator Must Complete). :'" ..... QoantitY.'R~Ceived ' ~ &X ,~ O Bbls, Date Address "? ~ ' ~ ~ ~ Time ~ PM r,: :' ~'~: ~ ..... .~'"~ '"~ "~ '? DISPOSAL METHOD: ~ Sudace Impoundment ~ Injection Ream ~py To: GENERATOR UHLESS O~ERWISE S~EClFIED Signature of Authorized Agent ..~ ~.~/ Date / , NO~: It is not necessa~ to send copy to ~pt. of Health ~ices. . , , ~ ~. ', " - ¢ NO H~ARDOUS FEES SHOULD BE LEVIED 9AKERSFll ~ C . ~.. ~ 2123 Panama Rd..:. ';.:~ : ',-.. '.'~.;;;:'~;.~ ':.; ~':':,,/'~'.;~:,...;'-.. · .:?..~,.~.:.-~/.;,~:;,:':~.;;':: ~. Bakersfield. CA 93307, ..;: ',',~:~.: '..:~: .."- ,-: :...:. ..... - ..... .. ..... · :lbS*GROSS DEPUTY /~.'~ :;~.:~:,; · ~s' TARE SCREENING RESULTS: ~:':~':'~'?'~::~;"~ ''~ '''/':'~'~:''':':~ ' ..... ' ..': ')f"~,::O. -" -"': '"" ' ""'"' ~;"';'"' ~ ' '.-~?~-~.: IbsTONS pH: ~ · ' ~ -... , ...:,. . . SULFIDE' ' ''~':'' ': :' '; ¥' :''~:'~'''.' ' ' ' TRANSPORTER'CERTiFiCATiON:. LOAD ~ '~ ::':-,~ ~ ~ ~. : . '-?"~' :"~: I'acknowledge receiPtOf the soil deSc. nbed a~ve and .,':' :~:~':~,,~ '~. :; ,;, , ~ ..: ..'. TRUCK LIC:~#:'~:~,r;z', ~-~ ;~ · ~ ''~ ced~ that the ~il is bei~g'delive~ed to the Des gnatea ',~,::~.' .:' /' '~/-, /' ~"?-~: ..... ,'~.,',~'~:~:~-,~:--~:?~ ~.' .. .... ' ...... · Y : ....,., . ....~.. .. . .. , ..~' .. .,~,~ ........ ~:.,...,,~.,.~, ..~..~ ...,,: - , Faci ltv in exactly the same cond~on as when received. · : 'TRAILER LIC'~ ~ TRA~SPORTATI'ON FEES arePayable u~n CleanSo s · ' ' :":~ ' ' · DRIVER / RECEIVER ~ receipt of payment 'from ~lienVgenerato~. . ... ·. · . . ,.. · . ;~. ~:2 .... .":' ,~ ':'~!,?J':".~~.~{J'J,~'¢r::;i~:~ ::':~: ';'~'~ '/::~'-~¢::"~:5~= '~'~'~':':':"~'~: ~>r~ :-'~:~"' ~ ' ~'": .................................................... · ~.~ll,.Tank No. ~ ../"~---%~ P.O. BOX 5295 o'i'BAKERSFIELD, CAUFORNIA 93388'~ ' [~'ield or Area ;_ .- . '~89~5'~2'0 :.." ' . '. '-i';:::?;. '~,O " NON'HAZARDOUS:,WASI:E'HAULE. 4:IEC;' -.. .. ,'. TO BE USED FOR NON;~H~RDOUS'WASTESiONLY'::~~. (Generator Must Complete) . ?';""":.!-?.::" 'i?',':~ ..-~. ,WASTEi~O BEiDISPOSED . · ;.,'>' ~. ":"~..i. 'V~'-- : ..,~:" ':,~,:.:/~';<~.~. ' , . . . Name ~and induscriea Lcd :";". ';; J:..::;;:;:':;~,.:Gene~ti~;'E~tion :" : '30~2 P~erca ~ad. ~er~fteZd, Field. Address 2~2 Do.~. ~n.a ' ~..Special Handii~ Instructions: . City, State, Zip R.~.N~. ~-C. V5C6C~ ..~' '~'"' ";"- :.." ' ~.Glove~?. ~Goggles. ~ Other . .r. ,':~.?~ ~. . ......., . Phone (~O&) 291-~02 ] ' ?' ' ' ' '"~' '":'"*;' '" .. ., .'.';' Qu.antiW. :, - ~ E'D' FACIUTY Order Placed By ~]a ~~ HFA DEsIGNAT Signature ~ Authorized Agen~ ..~. ~ Name ~i.~n ~n{ 1. Tnt / '~' / '' Address ~!?~ ~...~. Date / ....... ~ ' "' J ~. --? -' ~ City, State, Zip R-~-~e¢~-~; ~' 93307 Title /' ~ (' Phone (Rna) ~ (Hauler Must ~mplete) - '.% :?, ~.:. · Name ~S Tran.oortat~on. Inc. '~.~'?' ~'' ¢':' Address P.O. So~ 5295 Pick Up Date:~Y~/- ff~ Time ~ ~ ~MD AM City, State, Zip Sake~af~eld. CA 93388 NO~: Th~ form to be used in lieu of t~ C~ifom~ ~pad~nt of ~alth - Haza~ous W~te ~nifest for NON-~R~US w~tes only. ~ Phone (80~) 589-5220 : REMARKS: ~ Signature of Authorized Agent o~river ~ . Cl~. So~l. ~. I · . (Facil~ Operator Must Complete) .... ...'~,r~, .,, .',' ..... . ':'~"'' '~:"';":'~'?~:' ':' "~ 'Bb ate . ...... ;..~::. :,.~;~:;;~., ,...Q antlty~.Received.' '~, .' '" ~ ' '"" ''"'~' ''~' :'~:, Z:',~?;.',-; :'.'.'?. '. : :"~':' Name :'" ~-~--. -.,.,~, ~ ....... ~-"~ ' ' ': '~'~";~':':"' ' ': ~':' ':'~:"' '~' :',-:. - " .... · ~f:,;,~:~: .,. ~ ~ ' Address - ~ ~; .; (, ~' (:/ ' '" ''~ · L:/. {'. · Time ~ p~ . · :, -' . . City, State, Zip <~'- :-~,..-, . ' ~ / · ~ DISPOSAL METHOD: ~ Surface Impoundment· Phone ~:')~- ~1~i' 7 -:~ 7,,, ~ / Disp. Ticket ~ ~.),?~( ~--""/"'/ ' '.. ':. D Landfill ~ Other Signature of Authorized Agent '~ Date 'Return Copy To: GENE~TOR UNLE~ O~ERWI~E ~ ':" '~ NO~: It is not necessary to send copy to ~pt. of Hearth ~rvices. '-"'- ......'.~t '-.{ .~, ',, -- g'.-, NO H~RDOUS FEES SHOpLD BE LEVIED ,o,~ X~-T-~O DIRPORAL COPY ~,,~ .SCREENING RESuL~Si ' ~' ''~ ?'~i*'"'~!""i'*":~:!~'*';; ~ ...... ' *NET 31220 LB pH. * . .' /.. ,, () "' ·-' .... ..' . . _ . ..: ,_.t~ r~....-.,-.'.- :- S '" ..... "*?" ' ~ ' ' '" ~ '; ~ ' --' "' ';":~': ':¢' ULFIDE: · t.' ' .'. --. ' ~ / · .;.:~ ...::;.~:.:.:~.: ... ;.......:: ;.:.,?. ::...--~ .,...-.. ,~ ..... . .............~ ...: ...... · CyAN~lpE:.~.' ,.~..'.*.."; :...'.'.:?..:,;~.:~,.::~.:.-.;;~.".... . :.'...' ~..:. ~...: ,.:, . ..*,-~.:.,::.-.. ...:-,.. ..... ... ..... ... : ??.~::? ;..;~...': ..".'-.~.. . .: ,.: ...-. :.,.: ..... .~ ...' TR~,~RTE~.CERTIFICATION:~;{;:.;:~;:s...*..::.', ..... ':., LOAD ~ .,._; .... ~:-~ (~ ':-?' TRUCK ~'~'"' - '....ac~owledge receipt'of the'soil desCribed a~ve and ....?: ::'~. ' ....~ :/: '? :.. :..: ' :..?: , : TRU~K ,',,".:~' ,:. ce'flY, trier'the ~il is.b~ing deii~r~d~b~thb.Designated':.' . ' ";..: .. :....:~.... . uu. ~., '...'- .?-~..'. Facili~ in bxactly the same Cond~i0n:"aS when'received ': '. ~,; .... ;": .-. TRANSPORTATION FEES'are payable u~n CleanS~i~s ~-~LCH LIU. ~ ~ ' 'z.','.- ",.: .... receiP~ayment from ClienVgeneratOr.-. DRIVER / RECEIVER ...... '..":"-' ' ', ' '.. · ell, Tank No. o /;_;'- .: . P.O. BOX 5295., BAKERSFIELD, CAUFORNIA 933887.':.: '¥'. '..: 7' ' ' .... ~,,'..:~. - . (805) 589:5220 '. '. .... "~;~'.,~,~:;~-.--;. ,. .. '..':' : '~ ..' ".'.-.:'; NON,HAZARDOI, I$~~E~HAULIq~;RECORD"" ..... ' ".'. .'. ;' ' ...TO'BEmUSED FORNON::'H~RDoUS;WASTES:;ONLY,~. ~" (Generator Must Complete) ' "?..'. :':..~::'i! ;.-i; "..' '; WASTE.TOTYpe .. ;... !' llvd~ocaCboaBE DISPOSEDcoocA,.~ ~a£,&-' .~ot! 1 Name Inland Induscr;:l.~, Lr.d . Generating Location ..... 3012 Ptere. e '][0axi. Field Address ?I,R? nn,,ol ~, ~,,,~,~ Special Handling Instructions: .. - _ _ City. State. Zip R,,-~,h7. ~_ C_ V~C.~,C.q [] Gloves [] Goggles [] Other Phone ( F,C~Z,'~ ?q ! -f,r~? 1 Quantity :'~ Order Placed By ?~,~ N~v.t~,= RFA I~ DESIGNATEDFACIETY " ; Signature of Authorized Agent .,.~ ' ~..)~z_~ ~ Name · '¢.1 e~, .~A~ 1 ¢, ---/'"'-~//" -- Address ?! 7~ p,,,,,,,A R,-,,.,4 ; ' i -. !/ Date ( ' ':~' '' ' /''' City, State;:Zip.T. m,~,,,-_,¢~,~,~; ~A _~'~_n7 .... Title , ( Phone '-'" (Atl~)'IqT-~T&¢l (Hauler Must Complete) .,.. ',,..' .;:"-..:~!:¢i::':~,i ..... t.... ' .:;." -- ' S · -: .-..; Ticl~t:~#'.;i'-:-~:Ocf;~q,_% Unit No.'"1--~ / -r' ..-. ~. ,:.~,'~.;.;... ,.'~-~, ,,.-~. ??_;. ' .' .... Name !¢¢S '?~-R~n~'~'~t~nn: T~c. .. . ..:..:..:.::':.:~.;.-.,;....;..;?~.~:...;;. · .... '~ ..... ri ~J~ · ' ~--' ' . ,;.'. ' Pick.Up` D-'~i~!~:'~'z~:'~-C~'(¢ ' Time.;: r~ :f~ ~' Address ~.O. Rr~ S:2qS . ~; City, State, Zip ]~1~,~-Rf~e]d. CA 0~I3R~ ' '~'' NOTE:' This: formto be used in lieu of the California De~t of Health services . , -....-- . Hazardous. Waste Manifest for NON-HAZARDOUS wastes only. - ' ; Phone (POS) ~,P,c)- ~, 220 REMARKS: o, .... ~_'~ Sign. Authorize¢ Agent or DriverI~' . ~' c],a~ so,~], #CA ]23'& ' ,-.-(.,,~J~ .. Date ' ' '?-'/'¢~'¢": "" :r " .' '"" .... (Facility Operator Must Complete) -.: ':'~ QuantltyiR~elved ."]' '~-. I. I Bbls;.'Date .. ~ , . ' ": ""'~ 'i~;~:::~i'::iii~, :~:~?:7%~.~., ..-~::, ...... .-':':: · . .... ~,~.~.~ .~ Name ~-~ ~,~,.~-:.-:-,'-:'.~-', .... ' "'" .... · ...... '-'~' - : ':';".~i".""' .~"???.:. . .'. [] 'AM 'i: -.. Address -~-~\ ;¢ ..'.¢ -W"< ..,.. ..C~ ::;C;/ ..... -'" ":.-/:-' ': "-:: /:; .?'' '..Time - F'IpM . . . ..... .. ~.~.. .. ,'._ ~;!.:.!~,;::;....'.;.. . ..; ' -'~ ' ' "l ~ :'""~:~'":~? ':i City, State, Zip '~',;~'. ~-'-.:~ ¢'- q";'! E4'-:_ '.'.i'::'Z~..~,'D '~ - ::>, DISPOSAL';METHOD: [] SurfaCe Impoundment [] n,.je~tibr Phone '~'~)- "~;~ ' ;~' /''~ ~ / Disp. Ticket '# ~'^;':~(~''~-:''i [;. [] Landfill [] Other " Return Copy To: GENERATOR UNLESS OTHERWISE SPECIFIED Signature of Authorized Agent /r,~. Date ~. i "' /) ~ NOTE: It is not necessary to send copy to Dept. of Health services. ' . ~ ~.?.. '-. v ...':'. ..... NO HAZARDOUS FEES SHOULD BE LEVIED -; ,~,~ ~,,,.~.~o DISPOSAL COPY $ ' . '. ' : LOAD ~ ~??:/-""~ .~ ': · .... "' R CERTIFICATION .... ...... · :-.'... ..... ', :~ .'- ' ,' ":. -. --~.':':.' ,..~ .... -: ~.~ ~.~ ~ . TRANSPORTE . · " "kn0Wled e"receipt of the sod .~escnbed a~? a~d.. ,. ,.:'.,.. ::..,,: ;~-,' ,'; ..-.../'... TRUCK LIC.-#. .... ~ · ? . :~ F~iii~;in ex'actly"the same ~nd~'0.' ...'".~ n cleans;ii~ ..tWell, Tank No. ' , .: .~, .. ,;~.~-r. P.O. BOX 5295 ·. BAKERSFIELD,.CALIFORNIA 93388 I 1 ' ;Field or Area (805)589-5220 : N.° 114929 · - .ON.HAZARDOusWASTEHAULER.REcoRD TO BEUSED FOR NON,HAZARDOUS WASTES ONLY:,;. (Generator Must Complete), ' .~ ~.'.i'i:' . .;:': .. · - WASTE ~TO B--~iDISPOSED 1 Name_ l'a.].and ]'a,~ust~r~.es ].~(J Generating Location 30].2 ?:[.e=ce Itoad, ]~ake]rsf:[e]_d. C~. Field Address 2&~,2 Dn,,~] ~,~ ~n~d Special.Handling InstructionS: City, State, Zip ~,~-n~,y: l~_~., vs~P. 9 [] Gloves [].Goggles [] Other Phone _ (.60~) ~ ]-~37. ! Order Placed By ?'h. N.~z-t~,: ~'A ' "" · . ~ DESIGNATED FACILITY Signatur_e..of;Authorize,d ~A~ent '' " · ":. ~~=~'~u Phone ~ ~ City, State, Zip ]~ak,~]r.£rie;l,.l: CA 9338l{ NOTE: This form' to be used in lieu of the California Department of Health Services .~ Hazardous Waste Manifest for NON-HAZARDOUS wastes only. Phone (805) 589-5220 (Facility Operator Must Complete) .. .... _. , -~ .. , . ~,r ,..~,; ..::. ,:':. DISPOSAL.METHOD: ;. [] Surface Impoundment [] Injection ': i,/ ".',' '; Return ~:~py To: GENERATOR UNLESS OTHERWISE SPECIFIED Signature of Authorized Agent ",' . i~; Date ':, ' ' -~--- ,k '// NOTEi It is not necessary to send copy to Dept. of Health Services. NO HAZARDOUS FEES SHOULD BE LEVIED :o.. KVS-T-¢O DISPOSAL COPY' " . '. .... THiSlSTOCERT1FYt~attflelollowtngde~za:xKtcemmod- , .,..~.'; '.., ... . .. ,. ~ ·., .; , : . <... ., TRANsPoRTER CERTiFiCATiON: LOAD ~ ~ ~ TRUCK~ ""' ' '"' ' ' i acknowledge receiP ~'s0il dbscribed'a~ve and TRUCK LIC. # -)~',~'~"'~ ~ :.~ cedff that the ~ lis being'deliverbd to the Des gnated .: ....... ,~.~... ~:,;:.~ ;~, / ~., .' Faciti~ in exactly the same.~n~L?, as whe~ received.. : TRAILER LIC. ~ .' 7 · .~ '. ','- ' ' receipt o~y~ent~lien~generator., ....>',, , · ;~..,,,',, ,', . :, ,.."~. "' ,,:~ :,,.' .,-, , ' ~/ell, Tank No. - P.O. BOX 5295 · BAKERSFIELD, CALIFORNIA 93388 .~elO or Area ,.,:~ · (805).589;5220' '.": '~'~' N.© 1 149 2 6 NON~HAZ'ARDOUS WASTEHAULERRECORD TOBE'USED FOR NON:HAZARDOUS WASTES ONLY (Generator Must Complete) WASTE TO BE DISPOSED Name Inland Ind,,~rrt~_~ [.rd Generating Location 3012 Field Address ,/.~, n .... -.~ ~o ~ Special Handling Instructions: City, State, Zip ~re~Sy. ~.C. V5C~C9 ~ Gloves~.. ~.Goggles ~ Other Phone (5~)29!-502! . .~ Quantity ~ubic y~rd~ ~ ~h~ Order Placed/By ~!m ~2rt~n. ~FA ~ DESIGNATED FACILITY Signature. of'"Authorized Agent Name el==: ~=!~= ~.-. '- · -- Address ~ ~ ..... Date ' City, State, Zip a.~.~.~ ~ Title ~ , Phone tnnc~ {Hauler Must Complete) . . ..:' ' '~' Ticket~ '~/~/ ~ ~ UnitNo. [~3 /~~ , ~ Address P.O, Box 5!95 . Pick Up Date ~ / ~ Time ' ~PM ~hone (805)58~-5220 ~fiM~KS: · ' PM O~ty, State, Z~p ~_ ~-, / ' DIspOSAL METHOD: D 8u~aae ImDoundmon} ~ Injection Return Copy To:: GENE~TOR UNLESS O~ERWISE SPECIFIED Signature of Authorized A~ent ~', Date ~ ~ ~ ,~ ~') ~ NO~: It Is not necessary to send copy to ~p,. of Health ~rvices. ....... 't ~ ~ ', . i .... NO H~RDOUS FEES SHOULD BE LEVIED ~n~u ~,~-T.~¢ DIRPOSAL COPY ~'~' ~"":'" "' ' ' · .:,':-.-::"?',':'"":'- '. ·: '-:..-:.,'... ":. ~..:..~: :,~'/.:v' · .~ ., ;"..:... :..~ ". .... : ,"... , - - ;.' , . ~ : - · .,!.. · CYANIDE: :;~. ~ TRUCK#. '7' .... ~, ~' ' - '";- · :~:. '.~','. '~:':':"' ..... " ' LOAD # ..... "':' ....... ~FICATION' NSPORTER CER ' TRA ' ' '-"':" :':" · ," ..... : ..... ~: i. ~O~led~e ~e6.~ipt.-0f the S'oil describe~,a~ve an~ ..,.- ..- ;,-:.,-.~ ~, .' ......... · '"" elivefed to the DesignateO..~:':., ....-' :.,:. , .:-~:",';'f;-..::,:-., ..',~:'"?~,:""~';:),~j;.~ '~ ,;'-L -':,; ': '''~ .-,ce,~y.that the ~.~ be~ d ....,.: ......... ceived ''~ '" · :.' · TRAILER LIO;~ ' ~-: '~ '- ..... .... · ' .... me ~nd~on aswhen re · · ·,.. .., .............. .... · '~ Facd~ ~n.exact~y.the sa ........ ,.. ....... . .... . ........ , ;~ .,., .-,.::.,-.,~,..,:~ ........ , ..... ~. ,,,~.~, -.., , ' :~O~'~Pn~Y~TiONFEES''are Payable u~n CleanSo Is, ,~_ "' .... "DR VER / RECENER'~ ~ ::r ,: -- _ '.~.~ ..~'.',.'r.~-..:,~.: . ; '. ': .... ' ....... , · r,-~. ,:..",; ~,.' '~.., : ,..'.-., .: ' receipt'0f Rayment from chenVgene~tor. ' ' '. · :' .."" '- ';~' .' '.:,.- , - -- - ~ , · .... ....... '-'""'""-" "'" ' '"':'" ' ' ' ..... :"" .... . ..",'..:,~/" '~:t~.'-:'~,~ ' Date vl ' ]' ;.' .: .... :.:-..-.-" .::.'." :...- ." D~er ,/~~-.'C/.'lt~...-, · :'-',, ... ~.. '.... .. ~ - ....., ..,-. : ..... . ; . , . -.. ~..' ..,:;,., ,.. '' ',, "', , ; ', '. ,', T;"~., L:,'"~,~'~;-'".~, .,,'~;~'.,'F-~~' -:':~ - ''~"' '~' ' - ' Tank No. . .. ' · -- -. P.O. BOX 5295 ';:~'.; BAKERSFIELD,' CALIFORNIA 93388 ' '" NON"HAZARDOUS,,,WAS E HAU-ER"-E-'RD TO. BE USED FOR 'NON~H~ARDOUS:WA~S ONLY ~(Generator Must Complete) ; ' - WASTE TO BE DISPOSED " ' ' .....-' .." .., ~ Type '~:~ydrocarbOn Couch=inaned'' Soil Name~ Inland I~tdustries Ltd Generating LOcation, 3012 Pierce Field Address _ 9A~ n~,,~]~. ~oad ' ' .... ~- - Special Ha~ling.lnstrd~tions: City, State, Zip ~by; ~:C_ v5~6C9 · '~''''' '~ '-' D. GIoves~'~ Dr'~les D Other ~thorized~ Agent'" ';~ ..- ....~ DESIGNATEDFACIUTY Signature .'" .'..." Name Cl ~ / Address 21 Pan~m~ Date / ' ¥- > ./ ;" . ' ..... . ~.- City, State, Zip ~a~f~ CA 9~307 Phone ~ st Complete) - . .. , ..... · '"':":~." "' Tick~"::~/~~: Unit No. Address P_Q. Rn~ 5795 Pick Up Da{;"/ City, State, Zip ~.~{~]a= CA 933R~ NO~: ~is fo~ to be used in lieu of t~ Califomk ~nt H~a~s W~te Manifest for NON-H~R~US w~tes only. Of ~alth ~ices Phone (~nS) ~q-~?~ REMARKS: Sign~of Authorize~gent or Driver f " Clean Soils I~ 1234 ~ (Facifi~ Operator Must Complete). Address ?.~ ~ '~"~ ~'~ ' ' ';! :,.?.%'/;~,'.'' ~'.. · .'; -,. ' ' . · '-" t.' '.'v' . · ' ...... - DISPOSAL METHOD:.:..' ~ Sudace Impoundment "' "'""B InjectionJ Signature.. of Authorizedi .... Agent .~/,.:..// Date Re~ Copy To:. :;:. GENE~R UNLESS O~ERWISE SPECI"~ ~ .... - ........ ;--/ ", ~: L. ,._..,-', f/ NO~: It is not necessa~ to send copy to ~pt. of H~lth ~rvices. NO H~RDOUS FEES SHOULD BE LEVIED ~VS-T-~o DISPQSAL COPY :'.Z:~ t.-- ' :~.. :. :, ~.: ~.:~ IMOD~::': ' WEIGHED '.' .: ':"'"': .'. ' :'~:::~.' :~:~-:'~t, ..... ...,-'-'. ,, ..... ~ * =' ' ";~.:;" :~ . t:;;~,~**:: :- :.'. .....' ' ..'.'.-' :.. .. '~:"~:;'~:'. :,~:,,::1 . ....:-' :.": :~*' '.-..~"-:...~--~" :,'[~ ".-tiTs:'.!: .:' :.~-:,', , 2123 " BakersfieI ' " :"-. ¢-7 '~ ',":";",.':'"; ';.."'-.-':'-':':":; '.:.'~""'::'. ::"':. '""'":~" · :"":~4~:'.'~[v~, 6 ~...:' "' : ":;:,:':F"' :';' . · .... :,:..-, ."~ "'" , '.',¢.;.t.:t.* :,:'..:' ..':, ' ~:~:~ ' ' '"' '" *.",, ::,.-. · , ':.', ~: - N~ ' ""' '"" ":'~' '"' ' ~"' :":':'" . . . . ~ ....... '..'::' .';:~-Ibs:TONS SULFIDE:' "~ ' ' : :" ....... ~v~'iDE.' ~':.' -,::~ -... ~,.. .': .~ . - ~, . . .,/ · , .. ? ...... { . ., _ ~ ' ~'"" ::'"":' '"" ' "N' ' "' LOAD~ ~ -"-'TRUCK~ ' '"." TRA~spORT'ER'CERTIFICATIO : · .... ..~ ..... . ..... .. Ce~'~y that-th'~:'~i!:is 5el. g ' ~..~/. ~. ....... ~:_..~,~=..,~:.::-:.-~:.. ".?.. '"_ :~:...:~::..'~ ~;~:~.~:~;:,:=~:~.~'~'~.j.:.~6, ~1C ~ n'~a~l':the'same conoEion as wnen [~u~v~u.... ' ..... ..: .;..~..',-~,~,, · ' ' · TRAnSpORTATION FEES are payable u~n CleanSo~ls ..... . DRIVER / REcEIvER receipt of Payment from clien~gen~ator~ . . D~er.< _~ Date ;~J'~/ /~:~,/ ..... - . ~ -,: . ,~,:~- ..... ~. ;~..'~. ,~i~;.Lt~:,~:~.~;~.t~:.:.'~-~'~-~'~.-,',~ =~''''' .... 1 )NelUTank No. . ~,¥., ~ , P.O. BOX 5295 · BAKERSF!ELD,.CAIIFORNIA 93388....': (8os):ssCs22o ' , N©. 11 4 9 2 8 ' ' '' ~1'0 USED FOR NoN~'H~D' WASTES: ' '?' '~:" ~' ' ,:/? i! ?!!r/~ r. ting Location.'3012 Pierce ]lk~ad, ]]~ke~'a-Clald, CA ',.k: Name lnlaad lnduet:zr;I, ea Ltd, ;i;.i'" :. Gene a Phone (~,nz,) ?q ] -Ar~ ] .. .: Quantity ¢_,,ht c yards Order Placed By Tim N~r~'ln; HFA m~. DESIGNATED'FACILITy Signature qIAuth°rized {~ent. ,i:' ' . Name : Cl~n So{.. 1~ Inc. Date -. .... ":~ ~ City, State; Zip R,a]~ar~ft~ld; CA q3"{O7 Title -'~ ~ ,., [ , Phone Must Complete) · (Hauler : ' Pick Up'D ~(¢/ Time . ~' M ~ Address P_o_ l~o~: 5295 ... · ' .", ' NOTE: This form tobe used in lieu of the California Department of Health Services ~ City, Zip _. . Hazardous Waste Manifest for only. State, CA NON-HAZAROOUS wastes Signature of'~Driver ,~ . CZ'"an' S''Z- ,C.& IL23& Signature of Authorized Agent .-.~?, Date;"': ;':::'.4. ...... /' NOTE: It is' not necessary to send d~)py to Dept. of Health Services. ;:" : ' ~-~' ~: ', ) NO HAZARDOUS FEES SHOULD BE LEVIED .o.v xv.~-L?o .DISPOSAL COPY ~' ~' '~ · · '-: '. ' - . ,.~"..~L. '"' ..' :'!].~,:~' ~o~, . :-~.: ROSS ~ .' ~:.-j.',~'j.:: SULFIDE: ' ~ ' ' "::':';:~:~'~'" : ........... . .-: . .... ,~ ..- -. ~. . >.~. ..... . ...:-...:~.:.....-'-:..-~ .,. ~ CYAN DE: , . - ~ ' .: .' "' ~ ...... paCili~ in 'eXactly' me same cond~.~U as.when rece. _. ~.'.: TRANSPORTATION FEES are paYable' u~'n CleanSoils :.;:. ':' ...... DRI'VER; RECEivER~; ' " "'n 'uuus WASTE HAU ER RECORD ' . ,-... TO BE USED FOR NON-H~ARDOUS.-WAS~S:~NLY.~: ~ :-,'. :.' (Generator Must Complete). , '" ' .... :': '; ";" " ..... '-' ' "';~?~'~:',~?':'~:~:.,~: ?' .~ ,~L'~"..~: WASTE~TO,.BE' DISPOSED '.:. Field Address ~/,ow ~ ....~..~ ~..~ :. '. · ..~: , .. , ....... ....... ~ ....... , .... Special Handling Instructions: City, State, Zip ~ .... ~,, ~ ....... ~ GloveS. L. ~ Goggles.... ~. Other Order Placed By '.- ~, u~, AT FA ...... ~ -"' ~ DESIGN ED CILITY Signatu~f Authorized Agent ' '" Name · ~ ~._ ~ ~ ~ Dat I . ./ City, State,.Zip ',.,a~..~. ~ ~3307 Title ~ ... u -- Phone ~ st Complete) · .. ~ Name _ ~r~ ~ .... ~~a, ~:c. Address., ~.O. ~oz ~2~5 Pick Up Date ""~- ~ ' ~ Time ~ ~ -'~ PM City, State, Zip ,~*~~ ~ ea~ NO~:'This form to be used'in lieu of t~ Califom~ ~nt of ~th ~es ~" ......... ' ........ Haza~ous.Waste Manifest ~or NON-~R~US w~tes only. .-~. REMARKS: Signature of Autho~ Signature of Authoriz'ed Agent '" ' ' ' ' ~ . .,' .... , ,, ':' NO~: It is not neces~ to"se~ copy to ~pt. of ~ealth ~ices. · . NO H~R~US FEES SHOULD BE LEVIED ORM KVS-T-20 DISPOSAL COPY' '.'~'~.~ ~ H ~ ~::-' :., .:. . : ." .- ':~:?.7.:" .;:c",'..~ :.j .7 ~'~; .'~;~ ~";':',"~'; t?':~. ~':._~;~.~'~'~';~ ~?.~';- .~ ,.':.~ ~ ;~L.~'.~,~'-:-- ' : '. ~.,~_.. ~.~.~.-~.~ ~:~.~ .- ~., ..,. ~. :.,. ,~ · . . :..-.-'-......-:: . . ..-,....-:.-~:~.-~ L~.. -,. ~ ~ - ~ ~ ~ ...... ~-.~ ~,.~.:~- ~ .... . ~::~,-.~:'.'~.: ':~; '~- ~: ~' '~'> :'"' .':~ ' ";.'" .... , ~';-.-'.'~':~-:~C~T~ '~:~ '::,W~Z~a~'~':.:':C-';~?~,~'~:,~.~.~ ~' '-' ': - ~,.. .......~ ...... ~.. - ~ - ....... ~ ~. ~.~::~.~ ...). ,~..- ~ .~..-,. ........ ,-~.~..~.~?.~ lbs NET ........... · '"' ..... '" ...... : :" "' '" :' ' -'."~':~ :.~ ~ ~'. ~' ~.'.~-.:.-~: :'' :':~ '.': '.: :.::-. ~ :.-:~ lbs TONS ' . ' ?':~ .'~ ~'. 'r · ~ ,. ' :~: .... ':." ".' ': '" :'.: :::.-.':'.: '~':-: ::." . ' ::~;{"~:~'~'~iPi' 0i'~'~[~ii'~'~:S~Ci~bed a~e and.: '.'. ,. .. .... .,...-. . .;; ..,:...; .... . . -...'....:.-:..::':.?,:--::...~.-:-,~TRUOKLIO ~ '.':.- . -" :? ." :~: ::' · ':': ce~7 that the'~il ~s. bemg dehvered t0 the'Designated -.~: ['. Faci!i~:,in'~iac{ly t~:e~ame ~cond~i0n as when received. :' .,...: :;,:.::., :... TRAILER LIC. ~ ':"-:' ~.:7,-,:" ~.-.'~ ".'.TRANSPORTATION FEES are Payable u~n CleanSoils .':': '.'." 2'_._~_. 22__.: :~ ":'. '- ':'.' - ~ '.:. " ~receiPt ~ pay~t from c~n~generator. ,;Well, Tank No. ~ ~ P.O. BOX 5295 · BAKERSFIELD, CALIFORNIA 93388 ~;~eld, o! Area '- (805) 589-5220. .: NON-HAZARDOUS:':WAST. EHAULERi. REC'ORD .- TO BE USED FOR NON~'HAZARDOUS WASTES ONLY.~ ., Field'Address 2~82 ~u~Z~ ~_0~8 Special Handling Instructions: CiW~State, Zip D~gb;,. ~.C. V5C6C~ ~ Gloves ;' ~ Goggles ~ Other Phone (6~) 29Z-60'2~' .., _ Quanti~ ~55c Order Placed By T~ H~t~n. ~A .. -'"'" ~ DESIGNATED FACIUTY Signa~ of Authorize~ Agent ~ _ ~ Name., CZ; ;- q~ ~'* ~. ¢ Address P_O~ Fo~ 5295 PickUpDate ~'~ ¢~ "Time (Facili~ Operator Must Complete) Quanti~ Rec~bed % ~ " : *' ' City, State, Zip ~'';:,. }cz.., .4f ..¢, (: ~"¢) EC.. ~ ¢ ~ ~ 7 DISPOSAL METHOD: B Sudace Impoundment Signature of.Authorized Ag?t ~ Date .............. ~ ~I~PORAL COPY ~REENING TONS .. "" ' -. · / ' .'~' '.'. '": ' '" -. '.:' ,." " ·." ' . . SULFID .... '2.. .-':,'~ " .. ....... : .... ,' ~.-,' .' . '. :~.' ...... ' - ":. ~ · ' .' ' · ' ' ~ .' ',' "';.~;.~" ~,','~'~ ' '~ ' · -.'. ,. : ': '~';.'~,.':/'< ~':7.', · . .. :~ :: . '~":..: ~ . . .:' · .- '. :'. .~::..',..',.' ?',,.~' · ~: ..... , · . :-,, -: ,.' . ,/ : , CYANIDE: ' .... ~.'-' '"' ".;' '"~":' .." '?'.:~ "?~"'/' :. '"'" ......... ' '" '"' :'~ "" ' "' .... : ....i~*D~ '; ./ .... TRUCK~ ~ ' . - "?"'"' ' RCERTIFICATION .... "-' ?.''-' ...... - . '-." ..... ' .... ~ ' "' ....... '~ ' ' d descnbed a~ve and ~..,.~. ;:~.~:.~.;.:~.~ .~..~, ...~...-~., TRUCK L C~ c~ow ed e receipt of the so ~. ~,. ....... ~ .~., ..~. ~..;. .... . ...... , .... la .......... g ...... ~.. .... ~."~"" ..... otheDes~ nated-.?-~??~': ':' -'"'-.-~. '.'~:'.'- ,- ce~Ey that the .~ ..... ~.. g ...... · .?-. ................ .~.~,~, ?~.:~?.,: .... '~ ~,TRAILER LIC. .' -~-,,. ,.~:; '. ..... ........ : ..... ' ion as when recelved.=~,,~.~;~ ..,., ,, :~..:~.: .... .~.~.... .... . ................ ,.. -.....~ ..,... ...... ,,,:~:,: ~ . ' crt the same.~nd~ ..... , ,,,,. ~...,~ ,~,..~,.....~, .... . ..... . ,~ ....... ., .~ .... ..?~.... ..... Facll~ in.exa y ........... ........... I .~.,,~,~ ..... : · ....... · .... bleu n CleanSol s ..... .:~.~-'-. ~:.~.. · R · PORTATION F ES. are pay~ . ~ ~...~ ~ ...~- :,~.;, ~..¢ ............ DRIVER ! RECEIVE ..TRANS. . .... . . .,. ......... . ... :...~,.~..~......-~ ::,~,~..,~.~ .... . ............... ... receipt of pa~ent fro~chen~generator..".-..?.. -?~:?:- ~¥:-:~'.~:'..'~:, " · ..'- ' -.- ' '.. · :. · u~er .//~ ' t/. _. ~ .. ~ :.. . .,,.-~-,. ., ~ '.r _, ..~,?', -.-- '..:'...'?. ";,., II, Tank No. '. -'. · .P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 '~.~,~.eldor Area "':.- {8osl:sso:s22o N9 114936 NON'HAZARDOUS WASTEHAULER'RECORD --TO BE USED FOR NON~H, AZARDOUS WASTES ONLY", (Generator Must Complete) · ,-/';\. ~ .~: .~.%~' WASTE'.TO BE DISPOSED ' '~.'.~:': ~...' "Type '~ tlydroca~bon Conta.~:l. nated Sot]. Name Inland TndusL-'r:l.e~ LCd ..' Generating Location 3012 P:Lerce J[oad~ l~a. keref:Le].d~ CA Field Address 2482 Dou-~les Road .... '. SpeciaIHandling Instructions: City, State, Zip Barnaby. B.C~.. V5C6C9 .: [] Gieves... [] Goggles [] Other Phone (604) 291-6021 ." "~'. Quantity." cubic yards Order Placed By Tim l¢~a~tin. ~iFA ' ' ' __~ DESIGNATED.FACILItY ' Signatgr~Authori '.', Name. ':("Cl-ea~ So'Ils Inc. Date' / ' [ ~'~.' '~ I-- ~ ~/ Address 2123 Panama ROad ~ '-:.: .. City, state,Zip · Bakersfield. CA 93307 _...'.Title ~ -/{'~' ':"':"' ?.'?!~:~'!i'~-Phone ¢8~'397~'2740 ': '~:' ,:(Hauler Must Complete) Name KVS Transoorta~.ion._ "~ ~¢, "' .. ~":' ': ,. i. {..:.'~ I .'~ 'r~ ' [~-~'. .Address P.O. Box 5295 '~-. Pick Up Date'~ '~ ~ ~ t( Time , ~' City, State, Zip Ba~rsfie[d. CA"X...93388: ' '""':~ ~ NO~: ~' fo~ to'~ ~ in I~ of t~ C~if~A ~nt of ~h ~'. Hazards W~e ~ifest for NON-~R~US w~tes on~. ' / ' ..... .. '~.';~'."-;'" .. Phone (805)589-5~0 ", REMARKS:': . .' ';~'., Signature of~uthorized Agent or Driver '~ Clean. SOils t~ 1234 .... City, State, Zip '.: '.~,-,~-'~ ~,, v ~, > " "/.:L, .[ DISPOSAL' METHODf?: ~ Sudace Impoundment· Phode ''~ r. _~ ~ ; 7-) ~/~') / Disp. Ticket ~ ~ ~ ''~- ~. "' "· """ D Landfill ~ Other ' "~ Signature of Authorized Agbnt '::~ Date. ..., ' .. :':' .., , . ': ~- . ~z_. · NO~: It is not necessa~ to send copy to ~pt. of Health ~wices. ~ ' ' ~ .... ' / . NO H~ARDOUS FEES SHOU~ BE LE~ED X~-T-¢O DIRPOSAL COPY ' 5!90 BAKERSFIELD,':~C , ./~ .... lbs GROSS Facility in exactly the same ~nd~i0n as when received. TRAILER LIC. TRANSPORTATION FEES arb payable u~n CleanSoils DRIVER/RECEIVER · '- "'~.~,~. ~'~ . receipt of payment from clien~generator. ",, II, Tank No. '° P.O. BOX 5295 ~o ~BAKERSFIELD, CALIFORNIA 93388 , Field or Area'' ' '~'" '; '~'"*'-" ''~ (805) 589-5220 .~, .. ]~.O 1 ~. 4 9 3 8 · ' '"., NON'HAZARDOUS!,W STEHAULER. , ,:REcoRD · , ' TO BE USED FOR NON,HAZARDOUS WASTES'ONLY: (Generator Must Complete): ,i .;?,i:!~... ~..., ..... WASTE.TO'BE DISPOSED . ~ ~ ,~ ...:.,/-~: .: .~., ~. · '- i'~:~" '.:: ~' -, . :::, !~ ~.-:¢:':'.'.i.~,:!.. .... .i: Type .'.".: "~vdrocarbon Con~_~,-~nated 'Soil 1 Name la:].add lnduat:ries Lcd "}% :.:. '. "~.Generatingr~Cation 3012 Pierce l~ad. FieldAddress ?aR? ]~n,,~,l~. ~,-,.a , ,.:':;i '.'~.i,:' m~, :., .... Special Handling Instructions:. City..State, Zip 'A~rn~hy: P,.C. V5C¢,C9 '" ;i:~ Gloves..[] Goggles [].Other :.' .... - - ',~. ': " Quantity ':-' Phone (~nA~ 2~ ~-~021 ,_ 'Order Placed By 74~. N~r~n.. FIFA .,,'k,," ..~ DESIGNATED'FACILITY Signature o..._~Jthorize ' }}:;:;..,. ', Name. "" C.'! ee,:' Ra.I 1, Tnt'. Date 1; z_ [ - ~' :":' City, State;;ZiP:::'': R~,l~,r.~ ~ .~.;:,. ;..,. ___ Title ~' ;' "" "':" ,.,' '. '.' Phone .....': · - - .-.- --: _ ~st Complete) . ..':.. t'. ..~...~. ,:';..:, ¢:?':. ¥.- · '"'"' " Unit No. / ' ,..-':'.~ .Tick #!::'!~'' '~ ::: ?'' ':'' ~''';':: ' ''; ;~':; "-';:":'";'" ..,..~.. Name ~g q"~'r,n.?nrrar~ nn .. ~,~'. '-~'"'~ ::..:' , ,.: '~::: ...... [] AM 'F Address P.O. Ro~- ~2q~ Pick Up Date - '" Time __ [] PM _r2 ..: City, State, Zip P~]~,.r~¢-[~_l ~; ¢.A 9'~3RR NOTE: This form to: De used in lieu of the California Department of Health Services .. Hazardous Waste. Manifest for NON-HAZARDOUS wastes only. ': Phone (RO~ '~Rq~- ~.?-?n - - ' REMARKS:,i ~,i'..',': ::.' '.,' ..:.%?.%~.: ::~.;' . _ ~!~' Signature of Authorized Agent or Driver '~:" c3,~, ".qn~'i ,, ~¢..& . ' ,,. 5;.., ..,- . .. ,. ; :'.-..!~:.: '7; ' ;-~ Date __~ ,,:.. ..._? ;.(Facility Operator Must Complete'~ ;~::, :r.;¢,-','~;:; · ,: ,<,-., ' ,,; :i: ~,iii,:. Quantity Received' :?,'~'~,,: 'v,¢ ': •bls. Date Name ( ~.¢-a'~ ,~*.~ ,,..,.i,,~ :;~" '.' " .DAM ' Address ~-~; '-2 '~ '..~i" (~ C(): '":" .z',:.. ..... ":. :'!:;'??~i':;Ti~ne'- [] PM ' . ,-, ,, ,'-.'L -¥-.,~,. ;. ,,,_ ~,-.. ~':':~: ~'~' ' Cf" ' ; ": ' ': ':~"?'~'%~"~;" "' " :i' '; ' city, State, Zip '"' ': ....' " ' ". .:t*"'""'"""i,~:!~F'.,~j?:.:.;'DISPOSA~.,.,E;~,~OD::':.'::", [] Surface ImPOUndment" [] InjeCti°~i'i Phone ,-,.?, .,,-17~9 '-)/t ,h / Disp. Ticke~ #-;, "',",~;' .~~-g'// ,'i' ' ;;.!ii {',L ~; i!' .,i .;"."' ';,' '!"':'ii"i~:!..!i~,',.,,~..',,i-i'. [] Landfill .., BOther .... . .'. ' '. ........ r,,... ,¢~;,;-:':.:-..:"t. ,~:.. '/ ~(:::;~:'~.:~.f~"',L"¢~:,;.; ,'?. .. . . :--" __ ' .~',/,, ?! Date~:"-- .:~.::~'-'" :' · ' -'~:;:., ?%'-. ,.:.::;:: ,, Signature of Authorized A, gent -,- ~ !'":~.. :;i-i:~":i;;i:i:;i':?:~;:,!~'i''. : Re~',~'C~;?:rOi":JJ~i:iG'=#~RATOR U#1"=SS "'' ~ X. !'" ,~";, ;' L,' .-~" *' ' ' ~'l NOTE: It iSNonOt HAZARDOUsneCessary to FEEssend cOpySHOULDtO Dept.BE Of LEVIEDHealth'Services- ,o,, ~s-~.~0 DISPOSAL COP~ -T.HiS iS TO CE.. RTIF~ tltat the Iollowirlg des~ (:~ ,' ' ' whose signature Is on ti'da certificate, who is a recognized 2123 PANAMA ROAD mmne~and pr~e~Co~,edn~r~mredW~D~ ' " BAKERSFIELD, CA 93307 "~n°r~'°°~uremen*S~°~U~.C~'n~aD~°~m~n~ PRoJECT #'' (805) 397-2740 o~Fo~A r~cu,ur.., "-. , · , . . wEIGHED AT: 2123 Panama Rd. Bakersfield. CA 93307 3-22-~'4 '8:37 ,' (003) 77000 LB Inbound lbs GROSS DEPUTY ~ ~ , '. T~ ':::':32440 LB '. lbs NET SCREENING RESULTS: F'[T'"' '~' · '44~&0 LB .' CYANIDE: ~ TRANSPORTER CERTIFICATION: LOAD g TRUCK~ /" I acknowledge receipt of the soil described a~ve and TRUCK LIC. ~ cedify that the ~il is being delivered to the Designated ~ -~ ~"~ ~ ';"' "~ FaciliW in exactly the same condition as when received. TRAILER LIC. ~ '~ ~ ~ :' ~ " ' - TRANSPORTATION FEES are~ayable u~n CleanSoils DRIVER / RECEIVER ~ receipt of paint from~nV~nerator~ · . · ~.-;~-.., . ,, II, Tank No. P.O. BOX 5295 · BAKERSF ELD CAUFORNIA 93388 ~Sield or Area ._, (80 ) 89- 22o NO 11 4 9 3 9 NON-HAZARDOUS WASTE I'IAGLER RECORD TO BE USED FOR NON-HAZARDOUS WASTES ONLY ~ (Generator Must Complete) WASTE TO BE DISPOSED Name ~ Inland Ind.~t:rt~ l.rd Generating Location ~fll? P~e Rn~= R~f~ld; CA Field Address 2z:82 Douglas ~ozd Special Handling Instructions: City, State, Zip ~n~y. ~.C. ' V5C5C~ ~ Gloves ~ Goggles ~ Other Phone _ (50/:) 29[-5021 .. Quantity Order Placed By . ~m H~c~. ~A DESIGNATED FACILITY Signature of ~uthorized Agent ? ~ Name C~=~ So~Zs ~c. Date '~ '- City, State, Zip ~=~e=c~!e&~, ¢~. · 93307 Title Phone ; Ticket ¢ ¢ Unit No. / Name KVS Tr~-~er~a=ien, Address . ~.O. ~oz 5295 Pick Up Date City, State, Zip ~.~.~¢4.]~. p~ eqq~ NO~: Th~ form to be used in lieu of t~ Californb ~d~nt of ~alth ~es .................... Hazardous Waste Manifest for NON-H~R~US wastes only. _~ Phone (~n~ ~ .} ......... REMARKS: f Signatu e . Aut orized nt or Driver ~Operator Must Complete) Name k ',~,~. ~¢'...~-; Quantity Received Q ~ ' ~ ~ Bbls. Date .' t..)'. ~ U AM ;~ ~ ~ : ....... , ~ ~ ~ <' Time ~ PM Address 2 ~ '"-' City, State, Zip :~'.'-~:3~..o ;) '¥ " ~;~ ~' '~ ~ ~ ~ .~__7..~;-,. . DISPOSAL METHOD: ~ Surface Impoundment D Injection Phone '~ :":~ ~ .'~.'//-~1 ~ / Disp. Ticket ~ ~3 (~) ~{; J .... J --- ~ Landfill ~ Other .,~ ~'/ __. ~Retum Copy To: GENE~TOR UNLESS O~ERWISE SPECIFIED Signature of Authorized Agent ~ Date ' '~' NOTE: It is not necessary to se~ copy to ~pt. of Health ~rvices. ..... ':~' "X' '"-"/" NO H~ARDOUS FEES SHOULD BE LEVIED =oRu xvs-~-~o DISPOSAL COPY 307 :.: ~' -:'.:',~;..~ · ~ -: , ~..~.: :~ :~:?! '~ . .. -,_.:,.:... ,, ,. .:' /:..::-..,.'.~ ~ ~ :. . ...~.: . ' .... .~ .';,:......"' .. =,-.-~. . ./:".,'- .:~ '.. '.: ,. ,.- . : ~...~: .-:: =:::.' - ~'TARE :.:.'.~:.~::: ~ ;..' · . ..: ~.:. 'S~EENING R'~0~'TS:':' .:":':":??.':":- ;:::~'." ' " '. '.~2000" LB~::;..: ' .-~.:..: .~/. ~ .. ::::::::::::::::::::: . :. ph, j:~.,.:?.:??):.j¥ ~;?.~ ~...: .-....=. ,..:?::..- '.' . ' .,../- , :" :.:: ~,'-.,; TONS J · ~..;-.::..,::, ::.-.;:'.~-.;' .' ..,.~/_,... ,.. SULFIDEs-'_.- ;:' '~ .. , ' ' ' ":::'~:'~'~"~':'"" ,...':.:..,... ,,: ...... .... . ':.:~:~:,[~~;:~RTiClCATi'O~:.?':~" . .: :, . LOAD ~ ' (.e' . : ,-".'TRUCK ~ ""' - ~.,~,~n.~ -~ ~ ..,: '~: i~a~'~'~e':~0:c~i~t of the soil 'd'e'~C~ibed.a~ve and......:~.:..~ .. ~'.~ <.::.: ,. ' ~-~.'~:~:~hUCK :Lic.:# · .:..ded~:{~t:.;i~"~il is'b6ing del]ye)ed to the Design~teq ..-~.; ;"'/,::'::.: ':: ::,,;:..?:...7::;-':j :' '..' '.: :.... ~'-..~:" · Fa~iii¥')~.:~'~ctlythe same ~nd~i0n'as when r~?~v~..'. .., "":'.'...:~. -.'.':-:.:;.=:~TRAILER LIC. ~ TRANSPORTATION FEES are payable u~n u~eanboHs DRIVER / RECEIVER receiPt of Cayment from~enVgenerator. ' .. .' .:,,~. ,:'~ ,~ .?.. ',': ,' .' ' ~': :,. ...... · '- , : . ' , · ... · '~', - .... ,'. '.:~'.". ,.'~;;~.';': · ",:. .~L.' . ~ ~.~.:.~: II, Tank No. · P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 3ield or Area ~:~- '" ...L.:! (805) 589,5220 .: mO. 1 1 4 9 4 9 ·------ - ----------------- ------~--- --.-------- ----.----.- MnM'laATA~nnll_q'::w&'-~rl:.laAI II I~D Dl:enDn . · TO BE'USED FOR NON~HAZARDOUSWASTESONLY (Generator Must Complete) .., '~ii~.";~,'.~ ' ' ' WASTE. TO BEDISPOSED '"';"~"':~'~'"' .!'11~ Type." .~' 'RYdre;~rhnn Cnnr~=~r~tl .~n~ 1 · '~ . ,..-:.,'~. ,L~;~ti. * ..ii~ Name_ Inland Industries Lcd i, ~ Generating Location... Field Address.. ?AR? ]~,~,,g] a~ Road Special Handling Instructions: City, State, Zip A~-n.h¥, g:~.: V5£6£9 [] Gloves. [] Goggles [] Other Phone (AOA) 791-602 ! . Quantity '' Order Placed By ~m H~-ri.~ UFA =L DESIGNATED FACILITY Signature of ~h~[i~d Age~ , Name C!een / Date ; ~ ' ~"~ - ~ City, State, Zip ~e~leZd. CA 93307 Title Phone (80~) 397-27A0 :.: -' .,: Ticket ~.-"?~'~:~" Unit No.--~/ ~ ~' . ~. .;'2,:~,.:. )~ , Name ~g T~n.pnrr~r~. T~, '":.':.. ~ Pick Up Date ' Time ~ P~ ~ Address P.n_ Rn~ ; NO~:-~is fo~ to'~,used in I~u of t~ C~ifom~ of ~a~h ~es Ci~, State, Zip R=~f ~.A ~; RA 9~3~'~ Haza~s W~te Manifest for NON-~R~US.w~tes~t . Phone (RnS) 5~9-577n REMARKS: ~:, Signature of Authorize~~~~ ~~~~ .. ~le~ . . Date ~ ~-~' - ::: ? (Facili~ Operator Must Complete) '' .... QuantitYReceiWd ,..~. ., ;;r,.... -, ,. , k~. Name Address ' ~ ~ © ~ '~J" '~. '-."," ('N ~ ( '( ':' . ~.:'::Time D PM City, State, Zip ~?:" ~..~'~ (~;(/,~ (.-~:'::~. ~'';/' ¢ ~0 ? ~:'".-.'::~"~ ... DISPOSAbMEIHOD:'? ~Su~acolmpoundmont Phone '-~ ~7-9 ~/tt~ Disp. Ticket ~ :' ')/~/. '- :''~'//' '' :'~:" ~"":~ ":' '~'~":".. ':' ' " .'~/.. Re~'~y -To: : GENE~TOR UNLESS O~ERWISE SPECI~ED Signature of Authorized Agent - :.:. :~ Date' ~ .~. ) .~,./. // NO~: It is not necessary to send copy to ~pt. of Health ~ices. . .~ ~, 'r~t ~ .... ' ' ' NO H~AR~US FEES SHOULD BE LEVIED ......... ~.,.~ DISPOSAL COPY ~.;~,?~-.':'. ::,:.-,,.:..,~. . . ... . ... ~.,... ........... ... -.... ?4: .~.9= 11:'~ '~: :~"~' ":!" TARE ...?:':':~ '::.:'::.: .. ~':.:.? ..... :.....~,. ._ . . :. ...'.~: . ,.. ~ . '. suLFIDE::: ~ ':'....' .: . - .......~ . ,..:.'~C?--:'.''. .: .. : :. : ':~.~..:~:..~.... ~ '::~ ~. . . :..... ~-.~.-....., ........~?:~:??.:..;~: :-. -:. ~:..:... ~: . :..:.¥.~.::.'~ .~ ..'.?~ :..:. CYANIDE"' '- ~ - ': :'' '~ "'" " ' .......... ' '; ...... .- -: -:..: .' :~::. ':':.. ...-':-'.'.~:":¥":' · -: ~ ,:.. LOAD ~ .:.? TRUGK~ ~ ': :'':" ' "; ' ' TRANSPORTER CERTIFICATION: ;,:::~-:..:::"~'~' '~. , ::~, : ' ...' · · · .'. · ' ..:."::~'.'.~:~ j'..i a~a~i~ge'¢eaeipt'°f t~e sai)':a:~:~a~i~e~: &~ye agd.,' .~. L~:.: :..:,:..'~::~:."%.. , TRUCK LIO: J ~. ~'~:, ."~?"%~' ~:~ ;? .~'[.". '.'. - ' so~l ~s'bein: de iVef~ to the uesgnatea. '- '". '.': '?:~::.:. :~:.:::: : ": .' ..Z :,~':'.~?~"~,:;?"J'~"~-"::::' .: ' --- ce~ thatthe g ..... ..-- ~ ...:. - · :::...~, ........ -..~ ..... i'~.J,::.-,;~Z::J,:,:.~.',.~ · - , -Y .............. .'. ......· ....... ved - ~:... ,:., ... ..... ..... TRAILER LIO ..... , ......... · ' 8me cofld~lOQ 8s when rece.. ~ ...... , .. . ~. ...,: .,- ~ .. - .-...-... ?.?.~=:~t?., ...... :-,,. .... . .... ~ .Fac~i!~ In exactly the s . ..... . .......... . ......~......, .... . ....... . ..: ..... .....: ....... . . ,,=... I .TRANSPORTATION FEES'a[~_p~L~:9~g C.!~g~0!~s :: .:'. ~ ~.:~:. DRIVER l RECEIVER' ~~ '~ D~er , ~.~ '._;~~:.-'~ :~- 'rece'ip~'~Y~n. fro~ien~ge~efator.~:~ ' ..... :Date:: ' ...... ~/~ ~ ~,~.?~:~' ~-:: :.... =. ~'". ' .. :' '.:::~ ~" :. :.~.: ::'.: ::~::: ':~' '~:::~':':'?~'~ :'~~::~~ :~j~:;:::~.~ ~'? '::'~'"' · . . ,u Dc u cu NON H ARDOUSWA S ONLY.:;': . (Generator Must Complete). '. "'"' "~ :":" ' WASTE';~TO BE'DISPOSED . ,-;~:· Name _ ' [n~ and ~-d..~r~e~ g~d ,.. Generating Location 30~2 P~e~ce R~d~ ~akera~e~d ~ CA Field Address 2/:82 ]Jo,~gla~ P-,aad Special Handling I~tructions: City, State, Zip n .....~,, 5.C. ~/~AC9 . ...... ' ..... : ~ Gloves. ~.Goggles ~ Other Phone (~O/:) 29&-502L ...... ' ':" Order Placed By ~ ~a=t~. ~_ ' DESIGNATED FACILITY Signature of' d t ' Name '~..n Date ~ ~, Address ?~ ~3' ' City, State, Zip Title Address P n .~ 5295 ' Pick uP'Date?:,~'~ City, State, Zip ~-~-~.~4.ia ~ 93388' ' .... NO~: This~,fo~'::to~ u~d in li~ of t~ C~ifom~ ~d~nt of ~alth ~es ............... Haza~W~te'M~ifest for NON-~R~US w~tes on~. ' (Facili~.Operator Must Complete):{; ..... '~ ...... ' ~; ~ ; ~ ,~.-. Signature of Authorized Agent , -" :~'7 / " Date ':' Re~ C~Y~T°:..~:?GENE~R UNLESS O~ERWlSE SPECI~ED ". ' ' NO H~RDOUS FEES SHOULD BE LEVIED ~-T-~O DISPOSAL COPY SCREENiNG'~' ~.;.!:?:.'~:' ?? !~.'! ii..:::i':':':.."-;:':.:..:.i::; u i:~i: ? ?'''': . . · - . :.: : !:: ! -¥ :~..'.. · .. , . .... .. .... : ....... · : .... · ..... .,. .. ~.:~.~ .-....~_ :: - -. .... ."-' , :: .- ....;.: · ~ -- .-:-' ~" . . .. . ~ - ;;~.' . cyANiD:E:.: ~ .'~ ::.-: :.- 'TRANSPORTER CERTIFICATION:'.;:.'..':'.:: . .?' ."' ;.:: LOAD ~ . TRUCK ~ ~:-I a~'~Wl~dge re~'~'j~t'0f' th'e' Soil'd~{~rib~d a~e' and' "· .'~ ~.'::~.': '" ": ':-. ~:::"' .::-. :~:: ~':'". j ...-: Ce~y. t:bat.~h~. ~d,.~s.b.emg dehvered to, the pes~gnated ' ':~' ::-.'.' '?:-~':':~:?:. ;:::~-~'..: :'¥";'~:~,~K LI,~:# ~ls .~:.: - DRiVE D~er /~-' :"'":'-~~' · Date ?? ~")~/ ' ""' ... ~.,, .~ ...":--.~:....... : . . . ......... ..,.~.?:._,..:,~?..~;.... .... ' '!~ell, Tank No. ' ,' P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 .... ~31rieldOr Area ,...,;' ~ (80~)'~89:S220 .'~' N.° 11 49 4 8' ' :' NON'HAZARDOUS~WASTE~HAULER;RECORD- TO BE USED FOR NON:~HAZARDOUS..WASTESONLY~ (Generator Must Complete) ' ' 4 ''~',': ~'',~/~' ' WASTE?rO BE. DISPOSED. · .... ' ..i ~"?:":': ,.k Type ~ Hydroca=bon Contaminated Soil [ Name Inland lndusi:ries Lt:cl ~ Generating Location 3012 Pierce Road. Bakers£tel,t; Field Address 2482 Dou§la~ P, oad Special Handling Instructions: City, State, Zip Barnaby', it.C. V5C6C9 [] Gloves [] Goggles [] Other Phone (604) 291-6021 Quantity ' ' ,-,,_hie Order Placed By Tim l~lar:±n, IiFA .,~ DESIGNATED FACILITY in ' /~ ;" [~ Sg aturepf~uthonzed Agent ~; Name Clean Soils Inc. · "- / ,/ ..//1.~/ ,..<.~- ~:. AddresS:.?2i'~3..Paa'~.m Date / '- I :-.~ 'Z-'~.'/! City, State, Zip ~-~-~.~, ~ ~7 Title Phone (8051397-2740 (Hauler Must Complete) ,1.- · ~' ::. .-. Ticket.#.I. , ':~"l:q: . '~-3 ~ Unit No--"T ~. / ~::' Name k'~$ Tra~sportat::rLo~, Inc. -:' , ' ..... . ~.. .. ~ ~'~;' Address P.O. ~ox 5295 ' PickUp'Date ( ~ Time ~: ~ ~ p~ ~ Bakers[teld, CA 93388 NO~: Th~ fo~ to be ~d in li~ of t~ Californ~ ~nt of ~th ~es ~ City, State, Zip H~a~s:W~e ~ifest for NON-~US wastes .~--~ . Phone (805) 589-5220 . REMARKS: .?.::,::"'::. · ~: Signatu~e~f. Authorized Ag~t or Driver Clean Soils ~ Date ~ [ ~ ~ / ~ ? ~. (Faci.~ty Operator Must Complete) Quantity Received ~ ~' ~ Bbls. Date Name ~" ~ ' ''~' , "'~'~'~'-~~ ; '.~ ..Time ~ PU Address ' ~ ~: ~" ' ' City, State, Zip "¥-~'-%~ :'.~' ~.' i ' i ~ ~'E' ~ .. DISPOSAL METHOD: ~ Sudace Impoundment. D injection- ~ OI , ~ .~ .. Phone ': '': ~ -2 ~,~ / Disp. Ticket · ~ ~.~".~ ', ¥' · ' '~' " ' D Landfill D Other. Signature of Authorized Agent .~ ~/ Date ~e~m C~yTo: .... GENE~TOR UNL~S O~ERWISE SPECIFIED , ' · ~ , .~ ~.~ ~-~/ - NO~: It is not neces~ to send copy to ~pt. of Health ~rvices. '-' ~ .....-' ........ ':-' "', '. .... NO HAZARDOUS FEES SHOULD BE LEVIED .~. ....... ~ ~tRP~RAI COPY ~,'~o WEIGHED TRANSPORTER CERTIFICATION: LOAD ~ TRUCK ~ :'"' / ~'' I acknowledge'reCeipt of the soil described'a~e~a~d - . TRUCK Lic.# .~VelJ, Tank No. P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 · iFiieldor Area~ °';'... - N.© 114 9 3 7 ' NON'HAZARDOUSiiWAS EiHAULERRECORD TO BEUSED FOR NON'HAZARDOUS WASTESONLY,'~, ~'--'-~ .......... "" ...........~= (Generator Must Complete) ' WASTE. TO BE DISPOSED Type Hydrocarbon Contaminated Soil Name lnla~d Indust:ries Ll:d Generating Location ~012 Pierce Road, Bakers~ield~ CA i':i~'.:'I Fieldi~Address 2482 Dnugla~ P. nad ~ Special Handling Instructions: City, State, Zip Ba~aahy: :B.C. VSC6C0 .. r"]. Gloves '.i . . [] Goggles [] Other 15heRe f_60&) 29 ]-6021 Quantity ' :' order Placed By ?~La l~r~:~n: I~FA DESIGNATED FACILITY Signature o~//~thodzed?~ent Namo '~l~an Snt l~ Inc. " ///~.. ~...x/ ~-": y'' AddresS.. 21 Date /t~ ',~/ / ? '/ Rn~ld ~' .~ - ~ City, Stat~, Zip: Rak~r.f~ld: RA Tit~e ~ ~- ~, ~hone (SOS) --'~ ~-~ ............ '~ .............. ~ (Hauler Must Complete) ~, ~ :,,. Ticket ~ Unit No. / Name K¥S Tran~port:Rt'~l on; In~. [] AM "-~- Pick Up Date Time [] ~ Address P.O. gn~ 5295 City, Stat~, Zip Rak~-~f-l,~ld. CA O'~'~111g · NOTE: This form to be used in lieu of the California Department of Health Servtce~ - ' Hazardous Waste Manifest for NON-HAZARDOUS wastes only. '~ Phone (_805) 51t0-5220 REMARKs: . ~-'~ Signature of Authorized Agent or Driver Clean Sn~]a ~CA Date (Facility Operator Must Complete) Quantity Received ~] ° (?--~ Bbls. Date {"\\ . .~ - ~, , . .". Name ..... ' ...... ¢~ ....... [] Au ) ' '~; i)/ Time . [] PM Address '~; ';'J -'" ¥ '- ....: ' City, State, Zip ' }~'-~'"*~'-~--' ."( / ' '<~ ' ) "~ ;J ~ ~7 ' DISPOSAL METHOD: [] Surface Impoundment. Phone '--:")",-,.; )7-?///c~ / Disp. Ticket # )0[;. "-,: ;' /' : [] Landfill [] Other ' Return'Copy To:' GE#IR&TOR UNleSS Ol1~R~151 SPIClFII~ Signature of Authorized Agent ,.. Date ' , ?,:';/~/ NOTE: It is not necessary to send copy to Dept, of Health Services. [ ?"-- ;. ~! NO HAZARDOUS FEES SHOULD BE LEVIED ~o,~ ,~vs-'r.~o DISPOSAL COPY I" '_ ..... ? ~. ~.. ' '.. ---.. .." · . -.~'.'--,:-'-" ~',~ -~;~/.'.~:::':-~,::~.:~-~,:;'~,: .': '"...,::..,:"-. ::,.:: ~'~ ~'..,-.,--.'~,.'.:.'-'.-.' L'!-:'-:'.:-'.~'~:: - ., sU'L~:i~)E: '"': .i'~/'' ' : .... -: :-' ~:i~ii:::?!"'~'.:~.:':::?::i:.!," ~'":?: ': "':' : .:'. ::'. ,";::i ~:!:' -.~:. ~' :'...~ CYANIDE: ~ . : -' . _- - TRANSPORTER CERTiFiCATiON: ' ' LOAD # / ':;''~ TRucK# '- '~ ""::~:":~'~'~' ' '"* i acknowledge ·receipt o! the soil desCribed, above and TRUCK LIC. #: · DeSl nate : . . .~ .' ~''' '- rt~f ·'that the s°il iSbeing dehv.e.r, ed to the :_- g ... . :.":-: "' TRAILER LIC # ,.ce y . " henrecelved.'- -~' ~ . '.~:...-.-..'-'.,' .- · · " " · ame cono~lon asw .;.....:..::.. . : :,: :..:, ~.~.. .. .... .... ........ · · -..Fac~hty ~n exactly the s . -'"~ '. ' ' 'nSo~ls ',:~'~..' .. "~' '".. ' ...... ION FEES are payable uPO...n C!~a .... :-,-.: .... ...~.', ..... DRIVER / RECEIVER ...... .......... -..,_. PORTAT .............. . ..... .-:,~ ' .' .,-.~.: .... ....... . ..... ~-,-~ ......... ?.'- -: .... · ......~::~.,~'' TRANS,' , ' ' ' r '' r .... -. : .... '-', :.. '.:' :','-.' ': recei 't of Dav, rnent fror~chent/generato ·" .:.",:: .:?.;~,?.' :" ~. ": ;'::~" .... ' · ' · ' Driver."~:~ ~:,.. ~'-' . :' '.' ~te 'i~":L~''7.~/:I ..:.':.:.?.',i~i~: 'i!!?:.. -....~. :~-/ - ( -? .... . .... '...,..::.:~;:....:: :.:: ::.,~.:., ...... .: :. ~..,.... :::.:.,.~:~..:,.~..,,..':::~.:~,. ~i:~.,/~:':ii:i;~:::-.~.::..:,~-~.~:~'~:~,~:~;~ ~ell, Tank No. ' P.O. BOX 5295 · BAKERSFIELD, CAMFORNIA 93388 .. '.~.~.~ ' · TO BEUSED FORNON;H RDOUSWAS SONLV? ' '" (Generator Must Complete)....~' .-..-' , .. '.:_~:...' ,',:~,?~,:.?,-4~:.~:~:,... .... :: :" .' WASTE,~TO BEDISPOSED '.,";..~; ,. ' : '"'~ "' ~-- SpecialH ~ tn ' ructions - Field. Address 2482 P,a,z=]~ P.,J~d a dl Ins City~ State, Zip ~=~-.~y ~ ~ v~ce - ' ~'Gl°~s,.-;;D.Goggles ~ Other, ----- ,---- Order Placed By T~' N-roi9, ~FA - ~ DESIGNATED FACILITY Si~nature~hor,z~d~ent ~. "~ ~amo Title Phone ~ (~05) 397-2740 (Hauler Must Complete) : ~ ,~L>. :,,..; Address p~n_ ~,, 5~95 Pick:UpDat~'.~-~- ~ Time .' : ; _~ PM , ~ ~ NO~: ~' form to' ~ us~ in i~ of t~ c~ifom~ ~nt of ~alth ~es ~.~ Ci~, State, Zip ~v~=~,;._ .... ~] R . ~A ........ e~RR: H~a~s W~te ~nifest for NON-~US w~es onN. ' Phone ~805) 589-5~0 REMARKS: *~' '** ' ~-[~ Signor Au~ri~ed A~t or Driver' p~=.~ q~,~= ~n~ (FaciliW Operator Must Complete) '~' ':' Quantit~Received .'~ ~ 0 ~ BblS. Date ' .. Address ~-)~ ~ ~'.:' ~ ....' E ,:" ' '"?' ~ ~) ~ DISPOSAL METHOD: ~ Surface Impoundment. Ci~, State, Zip / _~t.,,~ ~ Phone ~g~:.:'q)-'J'7~/U /Disp. Ticket~"~:~OO~-/:~ :... ~ndfill UOther. Signature of Authorized Agent " ' Date · · ' "-" '." ' ,~., ,- . ' ~' NO H~RDOUS FEES SHOULD BE LE~ED ~o~ ~s-~-~o DISPOSAL COPY ~" 5/~0 2123 '. "::' · ':'/' .' ';;'::;":.'::: : '."* ..... ."" Bake'rstield~ CA 13 · .' ' . ,-'. · .' ':.' ' · ':':':':'"'~' -~¢ · · . · ..;~..~;:~.. · '..SCREENING R · ).:..:..: '*';~.:;'-: SULFIDE:-. . ' -~-" ' ' '"-...'.:" .t:'- .- ~. -" '::"'." ' - LOAD ~ TRAN'SPoRTER CERTIFICATION:, :';, ':"" '" I~-a~dWl~dge~-~e'ceipt'0i the Soil described a~ve an~ .... TRuCK:LIC' · '"' '." ' the'~il is being delivered to.~he De~ig'fl~ted . .....:. .. " ~' ~ed~ t~t:. ~,,. i~'~ ~me'¢nd~i0fi a~ when r~e~v~:,,_ · . ~[[~_!n.exa y .... ar6 ayable, u~n Glea0~oll~ ' ~. iHANSPORTATION FEES P :'-~..:....::' . _ reCeipt ol Payment l~om~gener~t°r' / ' ' Tank No. - · P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 9338'8 ;iField or Area :~'- -'ff~' .,. (805).589-5220 N.° 1!4946, NON;'HAZARDOUS: wAST=: HAULER RECORD· TO BE USED FOR NoN;H~RDOUS WASTESONLY ' (Generator Must Complete) ' ' ~' ' : ':'..:': WASTE TO BE DISPOSED '~ '. =:..?, Generating Location 3012 P{arce Rx, a~; ~,aker.fi~l& FieldAddress ?&R~ n~,,,S] ~,, Ro,,a " "Special Handling Instructions: City, State, Zip a,~]-n,~by= ~_c= v5C6C9 ~-. [-i Gloves=,_ [] Goggles [] Other Phone _ (ko/.) ?q]-~n?l " · ' ...... :' ' ' .:.: . Quantity Order Placed By T~., N~,-~-~ r~... ~'A ':'...!'.' 'ii..'' ~ DESIGNATED FACILITY Signature of .Su~orized Age~ / ..... : .~.'~'.,4:,CL ~ Title Phone ~ ~ust Complete) . ,..,::..., ,' ~..;, .~., . ' Ticket · Unit No. ~ /. ., Address ~.O. ~n~ 5295 Pick Up Date ' City, State, Zip R~k~.fie]~i C'A gttRR NO~: This fo~ to be used in I~u of t~ C~ifom~ ~nt of ~alth -~ Phone (RO~ 5~9-%27~ ~ .... Haza~ous Waste Manifest for NON-~R~US w~tes on~. ~ ' - REMARKS: ~ Signature of Authorized,Agent or,.D~i~ .~ .... ,. : :,, ;~ (Facili~ Operator Must Complete) Quantity ReceiVed ';~'~ ' ~ ~ Bbls. Date ~ ' ',, DISPOSAL METHOD: ~ Sudace Impoundment Signature of Authorized Agent ~ ~ Date Ream Copy To: . GENE~R UNLESS ~ERWISE SPECIFI~ ; . ....... t-.,~- ", ,~,. t.. ~,,:. .... /L)' ~/ NO~: It is not nece~a~ to send copy to ~pt. of Health ~ices. "' ' .... NO ~RDOUS FEES SHOULD BE LEVIED :o,~ xvs.~-~o DISPOSAL COPY NET scREENING R~SU 'L'TS: ""'~:~:~:':'?:i"" :':"" "' ""'' i ~:~:::.:,:"....-... :: - .,..: .-.~.,~ :....:!..::.:....~.:i:i:-:::::~..-%::.:::-!?::..i.::::: ..... 'S~JLFiDE.' ~~-' '..- .- ' ..... -..;: ....... -'!'~:.:~: .... '" ? ' : ' ' ':' :'"' ::i" '::~":;'/~'~ ': ;~' ' /'' ' '~,.;i;':::'::'.::'''': ".:; : "'." ' ' ~ ';'),~.: ...... TRUCK 'C. VA' ioE~: ~':~,'"'i .:'-."~':-':":'.". ''~ '~;~'~ ',~'r~FICATION:'~:~!:';:.:'.~!;~::'::~.:.:': :'.' ,.' ':'.' '~ ." .".' .'." ':'..' ..'?:: TRUCK. L...!~,;;.. ~:..:.,;.:,:,.: .,..:~::;. :~;::t..;.,~.~:....:, '-.';i,'i':~ :. · . . ._ - . ' !:.,. :'..:::. :.- .:..:.:: receipt ol,l~ayrr~..t trom client]gene rator. Date~ · ,Well, Tank No. :. P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 ¥(eld or Area (SOS) ssg-s220 N°. 11 4 9 4'5'. NON-HAZARDOUS,wASTE HAULER,RECORD TO BE, USED FOR NON~-HAZARDOUS WASTESONLY:" (Generator Must Complete) ,~::':-' WASTETO BEiDISPOSED 1 Name Inland Iadustrl~ Lcd Generating Loc~tion '- 3012 Pierce Field Address 2482 Douglaa Road - Special Handling Instructions: City, State, Zip ]~a~aaby~ B.C.. V5C6C9 . [] Gloves-.i...il-] Goggles [] Other Phone -- .~ (604) 291-6021 Quantity Order Placed By Tim Martin, HFA .I~ DESIGNATED FACILITY Signature of~thorized ACent ,~ Name C3_'ean ...~ · Address :~'12'I l~an~ Date [ / %,~ ~ ,/- Q ~ City, State; Zip: ~ak~r~a~ Ca ~3307 Title .' (Hauler Must Complete) ' Name KVS Transportation, Inc. ~Address ~.0. ~oz 5295 Pick Up Date ~'~ '¢ M Time /) ,'~ ~PM NO~: This form.to be used in lieu of t~ Califom~ ~nt of ~alth ~ices ~City, Haza~s.W~te Manifest for NON-~R~US w~tes only. ~ake~s[leld State, Zip CA 93388 · ~ Phone (805) 589-5220 REMARKS: :, · : :~ Signature of Authorized Agent or "Clean -_-~ ~ :~....~':¥:~.. :.. ;:~:r.~ t; :,~ ;,,~:~.,;~-.. ......... .~ .. .; .. :.- Date ~,.(Facili~ Operator Must Complete). .,.. :,,~,~,,~ ....... r':. ' , ,',,' .... -,' ,': ,.~,~;~ ' " ', ;'~V;~'',', ' ' QuantityR%ei~ed ~. z~ ~ Bbls. Date - Name ~ ~ ' "'~ ~'. ~"~ City, State, Zip ~)-..~. .~ ~('f/. (C:~'q ~ ~ . ,-.:'.~:~:'.:~ DISPOSAL METHOD:. H Sudace Imp°bndment D Injection Phone ~ ~ ~ ' / Disp. Ticket Re~um Copy To:... GENE~TOR UNLESS O~ERWISE S~EClFIE~ Signature of A~thorized Agent Date r ~ '~ 'i ~ NOTE: It iS not necessary to send copy to ~pt. of Heath ~rvices. '..¢. / .... ~ .. · , ...,. NO H~ARDOUS FEES SHOULD BE LEVIED ¢o,, ~VS-T-~O DISPOSAL COPY · YR~'$POR~E~'~E'~i~i'CATION:. . LOAD ~ /" TRU" ~?, Facility in OXaCtiy'tho Sago cOndlion as ~hon recoived, l~l[fi~ MO ~ :" ~' ~{~:'r~.?'/~;{..~.: .... l~S~O~llllO~ ~[~S aro paga~lo u~n CleanSoils .... receipt o?~nt fro~ clienVge~rator. DRIVER/RECEIVER ~~' ~ '$Ve :'; Il, Tank No. .:.. P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 · ...,, (80s) s89-s220"--- N? 114 9 4 4 ~ield or Area NON-HAZARDOUS'.WASTE HAULERRECORD ~-~ TO'BE USED FOR NON~H~ARDOUS WAS~S~'ONLY ~ (Generator Must Complete) "/' WASTE TO BE DISPOSED . '.~ ~ TyPe' H~d~arhon Con~t~a~ad Name Inland Induscrieu LCd -' ~ Generati~Location 3012 P~er~e Road~ Field Address ?&R~ no,,5].,. ~d · Special Handling Instructions: City, State, Zip R~y~ R=C= V5C6~9 ~ Gloves , ,~ Goggles ~ Other . Phone (~O&) ~9 ~-6n? ] Quanti~ Order, Placed~.../~-BY T~ ~r~.nt~,~__,. HFA .- . : ~ DESIGNATED,, ': .FACILITY Slgnatureof~thorized~e .. ~ .,',:. ~ Name' 'm."..~1= -//, ~/ ,./'~ - r,, ~ ~....:. ~;;. f~ AddreSs ';~7'"%":~'F;; ,- .77 ..... Dine / ~ ~'-' ~ ~ ' ? ~ ~ ' Cit~,State ~':' R~+~ ~A Title . .?. Phone .-' (~) ~-~?~0 ~ (Hauler Must Complete) Ticket,.~:./.:~(.?~}~q.% ~ .! ., ~ Name ~g Tr;m~pnrrarfnn: Tn~= ' ' ""~J~ ~ / ' ~ Address P.o. ~ 5295 PickUpDate ~'¢~ i~6/ Time '~, NO~: This form to be used in lieu of t~ C~ifomb ~pad~nt of ~alth ~ices ~ City, State, Zip ~a~.~.f' ~ ~ i ~ = cA 93388 Haza~ous Waste Manifest for NON-H~R~US w~tes only. '~ Phone (~O~ 5~9-5~ REMARKS: , . ~ Signatur~ of Authorized A~nt or Driver C]-~ So~1~ ~CA ~234 ~ · Date 7/~ D J 9 C/ r.- ...::'. (Facili~ Operator Must Complete) ...... ': ' '. v :. :: Quantity ReceiVed ?'3,//~ B~ls. Date Name "L..v.. ~.',. :' 2.? ~'¢ .. '' ? ':~:?~:~..,: ' -' B AM ~ "~ ~/, ~:~: : .... -.. ' ':Time ~PM Address :' ~ ') ;, ~ ."--' - ': -...- ~'. ~" · · ~ ~ -.,-. k// ' -.. - ,-'.- ? ', , '. City, State, Zip_~.~ ~ ~ /~-~. , ' ': · ' :. DISPOSAL METHOD:' D Su~ace Impoundment ~ Injection "-' '~'*" .') i'.)/~: ~;~ ~ ~ D Landfill' B Other Phone '-,'d~> ¢ ?-~7~/() /Disp. Ticket ¢ ,. Ream Copy To: GENE~TOR UNBSS O~ERWISE S~ECIFIED Signature of Authorized Agent ."~;.~./' Date ~ '~) NO~: It is not necessary to send copy to ~pt. of Health ~rvices. ' -~ ' ~; - ,' · /~'/// NO H~RDOUS FEES SHOU~ BE LEVIED ~o.u ~vsm~0 DISPOSAL COPY "", '~'.;Y;~,.~ .-'.'; ' ,L~'~'?~:~, "~-' .'~, . .' , ' - ;~'.. ,~;.~.r, ~-~' ~';.~L.~,'.~-:' 4~'-.b~,'~:-'.;~::",'~.~;;~'', ,/.~'.'D~-?.~'~ .,'~':'-",~;/-'~:,,-~s~'C~:-~:;'",.', : ' - [: EIGHEDA ; ..... . · .......... ,. ,...~, .~ , .... .. .......... .. ................. t ......... leld OAg3307 · · '..' ~ '. :' ~.~ .... :.;',:~,':~:~.,': - '.- '-.':;..s -~"~.-"t"'" :.'" ~ '~,,-~,~'. ....~. ~:- .....· .......... .... .... ..- -'.-, ,.-: ,, '~,..:~. ~-,~., ~ ............... ~ .................. ~..~ ...... ?' ..,.. ~-~l~s TAflE ..... ........ ,,,-:,:.,.: , ...... ~.~ ~,,,,~ ........ ~- ...... , ..... , .... ~,~,.~-~ ..... : ....... I~s NET pH:_" ....... .,." ~ :: ;:,":.';~ - ""-;'.: --: ' S"'LF"~u ,u · ' .. .... ' .... , I ac ..... ...- .:-'.' .~ ~,,',~,~ t° the Designated , ~',' :':': yRUcK LI~ · .-'Cb~"'ffy .... that the". .... · .~- ....'. '""' ' S when 'reCeiVbd. · 'lit in exactly the sam~nd~tl0n ~ ..... ~=~nils : Fact Y · - · · ..... :- aoleu ,~ ....... . '.' DRIVER/REG'EIVER.'"'~ ..... TRANSPORTATIONreceipt of payment fromFEES areuoepaY ~ .- :r.:.. clien~onerator. ..-~ ~ ~//,;' Date~./~', .- , .,:.,...-., . D~er~~~ ~/'' . ~' -.. . . .,: ...... -.,.:-: - ,..,-. ,. . . . ...... ..: :..; :..~ ,~,~.~,~:~~ _-~ :s-.~:~. ~~"?': .... ' ......... "' ': ~ '~~' '. ;~¥1J, Tank No. , ,-~:? P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 Field or Area ... (805) 589~5220 "NON'HAZARDOUS' ..__... _ .,. W&- TEHAULEa REr-ORD TO BE USED FOR NON-HAZARDous WASTES ONLY ~ (Generator Must Complete) ' ~"'" WASTE TO BE DISPOSED · i' I~ Type Hydrocarbon ConC~tnated Soil Name ._ Inland Industries Lcd Generating Location 3012 Pierce Road, Bakersfield. CA Field Address ?z'8? ~o,,g] :,_~ ~a~d .... Special Handling Instructions: City, State, Zip R~,-,~by, _~:c.: V5C6C9 / -'- [] Gloves. [] Goggles [] Other. Phone (~,04) 79!-6021 Quantity Order Placed By T~t. ~rr ~ nj ~'a -k DESIGNATED FACILITY Signature Of-Authorized Ageuft !~. Name c] ~-~ .~ ]. Tnt · Date~ '' ~ ~ '" ~/'// Address ' City, State, Zip B~k,.r-f~',.~d. Ca '9~07 Title Phone (805) ~97-? 7aO (Hauler Must Complete) '...::..'. Ticket ,'~ · Unit No. / ~ Name ~V.~ Tr~.~p,~-r~r~n., tn,-: (~ Address P_O ~,,~ S?.S PickUpDate :~--,,~,,~'"c:/*[/'"Time LJPM ~ City, State, Zip R~,.r.f~,~]a. gA ~3388 NOTE: This form,to be used in lieu of the California Department of Health Services -:~----~ - Hazardous Waste Manifest for NON-HAZARDOUS wastes only. ~ Phone (RO~,~sro-s??O REMARKSi'"-r':i;.... - -~ Signature of Authorized Agent or Driver '.c.1 Date ,_~'-- ~;~,,,,~."-- ,~.~ ~ (Facility Operator Must Complete) Quantity Received ~-' ~ · 0 Bbls. Date Name .. ,-...i. ~'"'"" '~ ~"~ [] aM Address ~) ""~) '~ '"" ~ . .~.......~. ~,-;. ,'( Time •PM ~" .. i~.. ~ ") ') ' DISPOSAL METHOD: f"l Surface Impoundment' [] Injection City, State, Zip ~, '~,'..:J ~. , . ~._ "~,~'2 ' , Phone ~'~'i: ? '"' 7 ; '7r//~ / Disp. Ticket # ':.).."/' \~" [,' · [] Landfill . [] Other Retum Copy To: GENERATOR UNLESS OTHERWISE SPECIFIED Signature of Authorized Agent ". ' Date ~. ~ .~ ~'~"- ~ NOTE: It is not necessary to send copy to Dept. of Health Services. ....... (- / NO HAZARDOUS FEES SHOULD BE LEVIED ~o~ KVS.~-~o DISPOSAL COPY " ~,.~o Bakersfield, CA g3307 SCREENING RESULTS: ~T 42040 LB I~ NET SULFIDE' cYANiDE: TRANSPORTER CERTIFICATION: LOAD ~ ) T UCK~.: I aCkn°Wledge receipt of the soil described a~ve and TR~cK ' ""~'"~ .... ce~ffy that the s0il is being delivered to the Designated ... . Facility in exactly the same condition as when received. TRAILER LIC. TRANSPORTATIONreceipt of p~ent f¢~FEESclienVgenerator.are payable u~n CleanSoils DRIVER / RECEIVER ''! ': ~:-~: "~: P.O. BOX 5295 · BAKERSFIELD, CALIFORNIA 93388 ,,,F-.ield or Area , : (805) 589-5220 ~. ;;.~'. . NON-HAZARDOuSWASTE:HAULER'RECoRD TO BE USED FOR NON~.H~RDOUS:WASTES..ONLY ~' (Generator Must Complete) :':.i. !,: ;:'.,~': :'. WASTE::TOBE DISPOSED '~: '"" ':'~:'~::'": '~.k, Type; '~"'' Name lrnland Znd~s£rtes Ll:d ' . . GeneratingLocation Field Address ~g!~a Ao'~d Special Handling Instructions: City, State. Zip B~rq~b~, B.C._ V5C6C9 . ~ Gloves . ~ Goggles ~ Other Phone (604) 29~-602I., ' ~.-Quanti~. .... .:, c~5!c Order Placed B~ ~_ HFA ~ DESIGNATED FAClUTY Signature of.~uthorized ~en~ /'.', ' ~'Name e~'~"'~ q~ ..... / - ........ / . / Address 719n'; ~ ..... Date / ' ~'. ;-'7 ?'/ "- .......... , ....::, City. State, ZIP:. n.~.,,¢~a. ~, 9~307 Title ~, " : ~' ": :' ,'~. Phone ' (~5) 397-27z:0 ~ Complete) .~ Hauler Must · ~ ~.,,~ Ticket ~ Unit No. / Name ~ ~nn~rr~r ~ llrl ~;, ............. , Address ..n~ 8~ 5295 PickUpDate -OO- ~C'I Time /O;~ UPu City, State, Zip ~-~¢~ ~1 ~ ~A ~qRR NO~: This form to be used in lieu of t~ Calif~ ~d~nt of ~alth ~es ......... ~ ........ Haza~s,W~te Manifest for NON-H~R~US w~tes only. Phone (Rn~ .......... REMARKS::.. Sig~of~orize~gent or Driver ~ (Facility Operator Must Complete) Quantity Received ?~/, 0 ~ Bbls. Date ~ Name .... -. ' , '~ Address '.~ ; '. · . ~ ....~ c~' Time ' City, State, Zip ' '( ...... "~ · '/~ ~ ~ -' '~ DISPOSAL METHOD: ~ 8udaoe Impoundment B Injection " , · ..... ' '~ · B Landfill B Other Phone ..',"; r ~;'; ~ , '" ( ~ / Disp. Ticket ¢ :' ,'~'/.~ '~ [..' ~= Return Copy To: GENE~TOR UNLESS O~ERWISE SPECIFIED %~ Signature of Authorized Agent Date ~ *- ~ .,,~ NO~: It is not necessary to send copy to Dept. of Health ~rvices. ~ NO HAZARDOUS FEES SHOULD BE LEVIED ~O~M ~vs-~-~o DISPOSAL COPY , .., ,BAKERSFIELD, CA 93307 . ~ .......... .. .~. ...... ........ 2123 Panama Rd. SCREENING RESULTS: F. '. '~ ~ :~ ~) Ibs TONS TRANSPORTER CERTIFICATION: LOAD ~ ~ "/'~ TBUGK ~ . I acknowledge receipt of the soil described a~ve' and .TRUCK LIO; ~ · ceAff7 that the soil is being deliver~ to the Designated ' ' ' TRANSPORTATION FEE~ are payable u~n CleanSoils receipt of p~ent from clip,generator. DRIVER / RECEIVER ' II, Tank No. . - P.O. BOX 5295 o. BAKERSFIELD,'CAUFORNIA 93388 '. .:~od or Area (805)500?5220' '-' N.© 1i'4940 .. NON.HAZARDOUS:,i;wA E. HAuLER iRECORD TO BEUSED FOR NON~H~ARDOU$,WASTE$.ONI_¥' ' · :--' ............ ' .........(Generator Must _ .._,Comnlete~ ......",,,~,-,.,- ~,., WaqT= mr~ BE~DISPOSED Field Address .~t.o,~ ~ .... ~ - a" g ....... ,~,.,~$ Roaa 7 Speci I Handlin Instructions: Cityl State, Zip gc.~aBy, g.C. ' [] Gloves:i/:. []. Goggles [] Other. V5CfiC9 ,. " Phone rtn/.x,m~ ~n'~z Quantity Signature of Authorized Agent Name C[~aa 2oLL~ lac. ~ ..... ~' ~ '" Address Date ¢ ~- ~- ~ ~'~- City, State, Zip> · Title Phone t~ {Hauler Must Comolete) / '.~ ~ . .:.~.:~.¢.. Ticket ~ · Unit No. '~5 ......... v ........ , ..... (:::'J ' Pick Up Date ~- ~' ~ Time - D PM '~ 'Address 2.0. g~x 5295 ~ ~,,y~;*",o,~,:e+~*~, Zip ..~ .... ca ~ a no~o NO~: This form to be used in lieu of t~ Californ~ ~m~nt of Health ~es ~ -~..~ ~" ~, ~L ~8 Haza~ous W~te Manifest for NON-H~RDOUS w~tes on~. :~ Phone tonex ~oo_~n REMARKS: ? Signature of Authodz~d g~eat o~r . G~aan ~-~" - ~ 12~ Date ~ (Facili~ Operator Must Complete) Address '" ~ ") ~ "') ~ "' ,-' .... -' / :":' ~' Time ~ PM ~ ~- .. ~ '~, '~, , . ~>~ · . '- ..:~ City, State, Zip '~' ~'- ~ ~)." / / ' ~'~ ..... ' i "?~.-?' 7 DISPOSAL METHOD: ' ~ Su~ace Impoundment ~ Injection Phone .',, ,' 'F .. -~' 7 - ~ '>,/o , I Disp. Ticket ~ . : .,'.~ ,:. -,,..'" .'~ ~ Landfill ~ Other Return Copy To: GENE~TOR UNLESS O~ERWISE SPECIFIED Signature of Authorized Agent .~. Date ~ ' ~ ~ ~O~: It is not nocossarg ~o send co~y to ~. of Heath ~rvicos. , .... ~-- " ~/ NO HAZARDOUS FEES SHOULD BE LEVIED ~o,~ ~vs-~.~o DISPOSAL COPY ~..~. ~ ...... ~ ........ '2123 PANAMA' ROAD'':" :' . . ~~. · ......... (805) 397-2740 WEIGHED AT: :.. ,, '.!:"., 2123 Panama Rd. · ' , ~:~. . . .... ':' . ., .. ..... : : .. . '"....~ :.. '~-. ',~ .~.~, ....,... ,.': ~.. · ~::~.:.'~.~:~.~:.:~.74~o .Le ~%"""~':-r:'~":~;~?¥~:~'' ~S'~OSS DEPUTY '/-~.~ · ~ ~ · [~ · /:~ u~'.,~:'. II 7 · ' '~.-..' 74.2~: LB~:, .'"~'~:?~:~?:'~ :tbS'TARE SCREENING RESULTS: " :' ~T ,~' 4~40 LB : .'::':':~':."):'~'~:~'~';"" lbs N pH' t,1, ~.~ '~ I, J~ ' i~sTONS SULFIDE: ~ ~ · . CYANIDE: ~ ' · .' TRANSPORTER CERTIFICATION':, · LOAD I acknowledge reCeipi of the Soil ~escribed a~ve and ' . ' 'TRucK Lic. ~ ~':;~,) ~.'~ ~:.~.',, ..~ ce,]y that the soil is being delivered to the Designated ' ' Facility in exactly the same cond,i°n as When received. TRAILER LIC. ~' ;Z~ :'~.' ~/.2.)f'~j ' - · TRANSPORTAtiON FEES' are payable u~n CleanSoils receipt of~y~nt from ~lien~nerator. DRIVER / RECEIVER D~er ~ Date ~:-./~ Z~(? ~/. . . . _.~/Vell,.Tank No. P.O. BOX 5295 · 'BAKERSFIELD, CAUFORNIA 93388 .... :"" N©. 115701 Field or Area (805) 589-5220 -.. NON-HAZARDOUS, WAsTE: HAULER,RECORD TO BE' USED FOR NON'HAZARDOUS WASTES 'ONLY:' (Generator Must Complete) ~ - WASTE'TO BE DISPOSED .~ .~, TyPe 'l~.'dr~e~rh~n Contaminated 80~1 Name Inland Inau.tries Ltd Generat~ng.~Eo~tion 3012 Pi.re~ ~oad, Rak.rafi~ld.' CA Field Address 2482 De~g!as ~,~ad Special Ha~ling Instructions: City, State, Zip 5z~a~y, ~.C_ V5C6C9 .: "~,Gl°ves';~." ~ Goggles ~ Other Phone (60~) 29[-602! Quanti~ ' :.u: Order Placed By T!m Ha~r:!v_, ~FA ~ DESIGNATED FACILITY Signature df Authorized Agent Name ~ieE~ SO~1 ~ Date ,~, City, state,*Zi~ ~ave-,~teZS, e~ 93307 Title Phone: (805')397-~740 (Hauler Must Complete) : :~ :. Ticket "~:'~)~'~¢V. _ Unit No. Name ~S Tra~sporrar~,~, Thc, ' ~; Pick Up Date ' _~ -~ Time /~-'/ ~ ~ PM ~" Address P'_~- A~): 5~95 .... '~: NO~: Th~ fo~ 'to be used in lieu of t~ C~iforn~ ~nt of ~alth ~ices - ~ City, State, Zip R~.~f~] d ~ CA 933~ Haza~ous W~te ~nifest for NON-H~AR~US w~tes on¥ ~ Phone (805)58~-57~n REMARKS: ~ Signature of Authorized Agent or DriVer ~i ~n~ 1, ~C~ I Date ~'~- ~ ~ ': '.-' ' " (Facility Operator Must Complete) .:~. QuantitY,R~ei~d 2,~./, )'Z~ Bbls. Date :" · Name ': '"· , ,:, . '2 ':' ii[~": i!',':' r'J AM Address \ ") .... .-c'-~ .... ,~ ,.~. Time,. ~ PM "~ '; '" ,- ' ~,O ~ DISPOSAL METHOD: ~ Surface Impoundment ~ Injection City, State, Zip v,..:.¢~,~.~ t; ~..,~- ~ : : . . ~ Landfill ....Q Other Phone "~,-; ~- ''~ ] ' ;3'/~-~ / Disp. Ticket · ~ (")."':~ ~-I"~'/ Ro~ ~y To: GENERATOR UNLESS O~ERWISE SPECIFIED Signature of Authorized Agent '.~Z" ,~ ..-, Date / ~>' NO~: It is not necessary to send copy to ~pt. of Health ~rv~es. ~ '"' ~f NO H~RDOUS FEES SHOULD BE LE~ED ~.~ xw-~-~o DISPOSAL COPY 2123'Panama Rd. .. _ Bakersfield. CA 93307 : ~'94 tt ~27 ''-" ' SCREENING RESULTS: '~,,, ~ ~ ;~ ~, /(~ lbs TONS SULFIDE: TRANSPORTER CERTIFIOATION: , LOAD~ ~' TRUCK~ · ':'"' : ~ ~' ' ce~y that the soil is being delivered to the Designated '" ' -' '- - - Facility in exactly the same ~nd~ion as when received. TRAILER. LIC. ~ *' ~" '::' "'" ~ ~': ' TRANSPORTATION FEES are payable u~n OleanSoils D~IVEH / RECEIVER receipt of ~yment lr~ clien~generator. Tank No:' 5295 ..?,Well' ~ :'. P.O. BOX · BAKERSFIELD, CALIFORNIA 93388 ." '-: . ~l~ield or Area '-', (805) 589-5220 '. N©. 115702 NON.HAZARDOUS :,.wASTEHAULER:: RECORD. TO BE:USED FOR NON'HAZARDOUS WA S'ONLY. (Generator ust Complete) · WASTE TO BEDISPOSED M .... '"'""' I~ Type ' ~.~;-~k,.o..~.,.. ~,.,..~..,.~.,.~.,.,~ Soil '[[]~ Name_ Tn l~na 7naL~,jt_r!e_~ 1.r_'d ~l~'GeneratingL°cati°n" 30!2 Pie_-ce ."_e_~_, _."_~k._-_-'=_~!.-_-£~. C.a. Field Address ,~z.~.) n ...... ~ ,,~ ~ .... -~ Special Handling.Instructions: City, State, Zip ~-'-=--5:,-, "-..(:. V5C5C9 .. .[].Gloves?i; [] Goggles [] Other Phone r~n/.,__~, ~--~ ~o ~ _~n.~_.~ Quantity Order PEaced By ~'!~ ~-.~1::, ~.{FA I~k DESIGNATED FACILITY Signature of Authorized Agent ~ Name C!c.--.-. Sc.I/~. Inc. Address -~ ~ -, ~ ~, ..... ~ ~ ~-~ Date City, State, Zip ,~.--~¢~ ~., ~.^ Title Phone r o,~ c ~ -~,~-~_-, -, ,.,~ Ticket # '~ i q .~'.~ ~ Unit No. -'~ ~ ! ~ ~-~ -~,. Name _~;VS T-'-a=c~o_,:t_~:±e:, _r..-.c. (~ Address ~ n ~.'" 5295 Pick Up Date ~;~ ~ ) ~ ff Time //.'~-,r,~ E~PB ~ City, State, Zip ~,t.,~,.o~,.~,~ r'~, (~-~'~,, NOTE: This form to be used in lieu of the California Department of Health Services (~ .................... Hazardous Waste Manifest for NON-HAZARDOUS wastes only. ,_.,r-~j= Phone (805) 589-,5220 REMARKS: ~-"ff Signature of,hAuthorized Agent or Driver -. r,~ ....~ ~" ~'~ 1234 ~ (Facility Operator Must Complete) . Quantity Received ~}/~), ) ~ Bbls. Date ' ":"":'~ '"' Name, '~ ~ ,-~", ' · .n C'~ '3 { '"' [] AM ": :'~';', "' t' Time [] PM Address \ %' ,> , ~ ~" ~;.~;' ~' . · '~ ~:.',,'~' , .... ~,-: '7 ' '.,. DISPOSAE,METHOD: [] Surface Impoundment E] Injection,~;:. City, State, Zip Y/,, ,' ~',,,,-,~- J~, / , .~,. .. · - · 12 .L: ?~:".: ':: ' Phone '.:":' i'7 -')'7(, ,,~ / Disp. Ticket # r} ~ fl-; ':-; 7 , ~'''', - · ..,:...: :,~, ~ ,,. .," [] Landfill' Signature of Authorized Agent .- / Reb. a'n Copy .To: -GENERATOR U#LE$$ OTHERWISE SPECIRED "/'z ~ Date ? · ~: ;,_ NOTE: It is not necessary to send copy to Dept. of Health Services. '. ~-,,., ,. ',, ./, ,'~-'1~/ NO HAZARDOUS FEES SHOULD BE LEVIED ,o,~ ~vs.~.~o DISPOSAL COPY ~;,,o .: ~m, .......... ........ '. ~ ~ I acknowledge receipt' ol the Soil described a~ve a~d, "TRUCK LIO;# .-;~ :';.. "~.,".. ~;' .; il is bei delivered ~o the Designa~eo · · . '""~';"'-~' "~ '~..- . TRANSPORTATION FEES are payable u~n CleanSo~ s DRIVER / RECEIVER .... receipt of payment from clienugenerator. -. ' ;, ,~ ' '' '-~"": ' ' ' '" .,I, Tank No. P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 Field or Area _ (805) 89- 22o N.° ! 1 5 7 0 3 NON-HAZARDOUS WASTE HAULER RECORD " TO BE USED FOR NON-HAZARDOUS WASTES ONLY I~:'GENERATOR !~)~¥~:':Li~l Generator Must Complete) WASTE TO BE DISPOSED ' Type u...~,- ~.~,~,,- r..,~.~ ~., ,.-..,~ ~o'_.' ', .. Name ~,,:.,-,.~ Trr:~,,:r'-*',.,~', t'r] Generating Location .. 3r)!', p~_,_--t,; p,,.~,~ ~,. Field Address .... - ..... ' ~ .... :~ Special Handling Instructions: : City, State, Zip L::::..:b:,-, J~.C. '¢5C(,S~J [] Gloves [] Goggles [] Other Phone _ ('~3~ 27!-5£!2! Quantity / ~' Order Placed By ":-L:. F.:'t-tL'.., ~-;_F/, I~. DESIGNATED FACILITY Signature of Authorized Agent ~ Name CL~;-. -~:~L: · "~'-'~--~'-"¢- ~ ~ ~-~-~--'~:'~-~-z--~-~-'~ "/~-': Address - , ~ ~ Date '~_~- -'¢~? ,-~/_ City, State, Zip ~-'-1:. :'~ ~:~.,d., 2,'. .~3397 Title --'¢-' ....... '~- '-,--' - --'"~'¢.'-~--"--'~-'~ '~-"' ,'-' Phone ' SO5) ~; 2--"?/"~ "' I TRANSPORTER I (Hauler Must Complete) Ticket ~ Unit No. / Name , · o ~ ........ ~:':~:~'-- -:,-- ..> ._, _~ -/. ':/"' 121 ~:' ,~ Address r, ,~ ?o.. ~2~J5 Pick Up Date _ ' -/ '-/'""/ Time , · [] p~: ' ~ City, State, Zip ::" ~ :'3 ~. U NOTE: This form to be used in lieu of the California Department of Health ~rvices. ~) ~; ~. ~;,: '_-.~ L ~. Y, '_','_ Hazardous Waste Manifest for NON-HAZARDOUS wastes only. '%~ Phone ,L"-'.~ ~, ~"' '~- ~""' REMARKS: ,}~.~>~_~ Signature of Authorized Agent or Driver C2c~r ?: -" '- (7~ Date ~ '-"' DISPOSAL FACILITY (Facility Operator Must Complete) Quantity Received "'o · .~ Bbls. Date Name " ..... : [] aM Address · . , , · .- Time [] PM City, State, Zip . ..' . .;..t, ,. DISPOSAL METHOD: [] Surface Impoundment [] , " [] Landfill [] Other Phone - '~' '" ' : / "- ' -' : ~-. / Disp. Ticket ~ '~- ' Signature of Authorized Agent Date Ret,J,'n Co~), To: GENERATOR UNLESS OTHERWISE SPECIFIED ' t::,":,-t ~.... __. ,.' ..,' NOTE: It is not necessary to send copy to Dept. of Health Services. · ' · '/ NO HAZARDOUS FEES SHOULD BE LEVIED ,O.M Kvs.~-~o D',SPOSZ, L ..,.,;- , 21~3 PANAMA ROAD, "-'- ........................... "~ WEIGHED AT: rF:~ ...... ~ ' Bakersfield, CA 93307 - 3L~4 11 ~ ~ SULFIDE: TRANSPORTER CERTIFICATION: ;~ LOAD ~ >'~-- ' , I acknOwledge'receipt 0f the soil described a~ve and TRUCK LIC. ~ '~' Facility in e~aCt'ly the same cond~ion'as when received... '.- TRAILER LIC. a '"~*",/'--'~ -'' .... " ' TRANSPORTATION FEES are payable u~n CleanSoils DRIVER / RECEIVER receipt of~ay~ent from clien~generator. ~.~Well, Tank No. '~, · _~'¢i'~: P.O. Box 5295 · BAKERSFIELD,.CALJFORNIA 93388 '::. ..... ' · .HA HAULER -" NON' ZARDOU.S~WA~I~,E RECORD · TO SE. US£D FOR NO~"~i~DOUSWaS'r~S;ONL¥ Field Address ....... ~ ~. o,, ~, ...... b*-o' '- - l',oud Special Handli Instructions: City, State, Tip ~ .... ._.. ~ ,- ,,~,-~-~ [] Gloves [] Goggles [] Other Order Placed By Ti'..". l'..~.rrlt~, MFA ~ DESIGNATED FACILITY Signature of Authorized Agent " Name ,,~ ~ (Hauler Must Complete) Ticket # Unit No: / ~ Phone t~n~ ~-~n REMARKS: .." ~ Signature of ~uthor~ed Agent or Driver ~:~ ~"~ ~ '" ~ 1234 Date · (Facility Operator Must Complete) ".~;:.?, :.'" '..,: ~ ," ..... Quantity ReCeived '~ .'z~, ~, Bbls. Date Address Return Copy Toi ' GENERATOR UNLESS OTHERWISE SPECIFIED Signature of Authorized Agent ,' : . . -". .>,~ ')'./ NOTE: It is Non°t HAZARDOUsneCessary to FEEssend cOpySHOULDtO Dept.BE Of LEViEDHealth Services. DISPOSAL COPY ~,~o ~wasweigt~d. meaaureO, orcount~lbyawelghnm~ter, ',~i": .~- . .' .TRANSPORTER CERTIFICATION: LOAD .I acknowledge receipt of the soil described a~ve and TRUC ce~ffy that the s0il is being delivered to the Designated .?. Facili~ in exactly the same ~ndit on as when received. TRAILER LIC. TRANSPORTATION FEES are payable u~n CleanSoils receipt o~a~ent from clien~generator. DRIVER / RECEIVER D~e ~yVell, Tank No. ' ..... P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388' ~ield or Area R~C ' NON'HAZARDOUS EHAULER: ORD TO BEUSED FOR NON: i DOUS.WAS SONL' ~~- (Generator Must Complete) · ..... ;"'"~"'":"" "' ' Name Tn];~ T~riUS~[i-~ l,rd . Generating Location ~]~ P4~. ~; ~e~4.1d: CA Field Address 2/4S'Z D~.~g!'~-: ~.o~ Special Handling Instructions: City, Stat'e, Zip . .... ~.., 5.g.- ,~o ~ Gloves. ~ Goggles ~ Other Phone (504)2~Z-5921 Quanti~ /~ ~=b~c ;.~g~e --~ Order Placed By T!= '~--- . -. ~YA ~ DESIGNATED FACILITY Signature. of Authorized. AGent / Name C!e-~ Sei!e Znc. Title / ~f ~ ~O~/~ Phone (~95) 397-27~0 (Hauler Must Complete) . -:,' .... ': ' ;" · - ~ · ' ' Ticket #' '"' Unit No. / Address ~.0. ~ez 5295 NO~: ~ fo~ to be used in li~ of City, State, Zip ~Ag~el.~. ~_ 9~88' Hazard8 W~te Manifest for NON-~R~US w~tes on~. ~ Phone (~05) 589-5220 REMARKS:" ~ Signature of &uthorized Agent or Driver ~-~ ~e1!~ ~ 1~3A (Facility Operator Must Complete) '~"~ Quantity Received ~ ~- ~)~ Bbls. Date City, State, Zip ~'~'-~ ~,...~ .. '.~' · ' .4~ r ' ' ' ~ ~ ~ / ~ ~ ~ DISPOSAL METHOD: ~ Surface Impoundment G Injection Re~ C~y To: GENE~R UNLESS O~ERWISE SPECIFIED Signature of Authorized Agent / . Date _ .' ~7 NO~: It is not necessa~ to send copy to ~pt. of Health ~rvices. ', '~ . ~r. " / NO H~RDOUS FEES SHOULD BE LEVIED THiS iSTO CERTIFY ~ te co~nted ~ a. wet~'r~. . Cle'~~oi~ ~-.~.--~,~ .:- vax~ ~x~o~ ~c~~'c~(~' DATE "~/Z - " =~=d~y '2123 PANAMA ROAD ~u~s~amec,.,mm='.'"~"":-- PROJECT #: .. - .. . BAKERSFIELD, CA 93307 a Feed ar~ Ag*=Jm~..':: -: :::'-':':::~:: '---'~ "' ..' .... ,'.-'-'~.~..:, '":,",~? ;~ :..,.: .... ". ..... · (so~) 397-~740 OrrY:'~: · . : ' ' COMMO .........-_.'.:'._.- ..... . .... .,.... WEIGHED AT: 2123 Panama Rd. -' ·-'-" ..... ".:::' Bakersfield. CA 93307 :::~.-23-94 1.4:09 lbs GROSS <001.1 703;20 LB Inbound ' i .::.' '.. " " - I. . :.. . ::5,-23;-94 t4 ~:27 . -:-.' ........ ':~-.::.'"::':"~.':.~ lbs TARE 70~20 LB DEPUTY ..... ~0S$. .2~O..'L.B :.' :::::::::::::::::::::: :IbSNET DEpUTy ~~,~a_:~-. - · - ..- . ' :.:~'T ' ':~' ~--'7-" ":""~':~:::':::~':::;'::'> ibs'~ONS .. ~,...-. ~..? .... · ~,': ~ :.'. :,' '-"?:':: :'::i::i' :.: ::..._' p~: · ,.. · CYANIDE: "' LOAD # TRANsPoRTER CERTIFICATION: i 'acknowiedgereceipt o! the soil described above and TRUCK LIC. # t' : ." ''~' . . . · oe~,7 ~a~ the. ~o" is bein~ de,vered to the Designated .TRA~LER L~C' #:, t":~~ Facility in exactly the same condition'as when received.. ' :' -~-'~'-- .... · '.- · TRANSPORTATION FEES are payable upon CleanSoil.s DRIVER'/RECEIVER: ---".' '... '.' ..: · .':....' receipt of payment from client/generator... · >~ .-' .' .~,' L~-'" Date~ I ~ , /7 '..:. /"" ,l:J .,- .~ - < Driver ~.. ,,/~ /'~:':'-'"'"~" _ .~.-_ ...... 'Well, Tank No. · P.O. BOX 5295 · BAKERSFIELD, CAUFORNIA 93388 .. .,Fed or Area ' ~':'"':: (805) 589-5220 ~~5706 ,. ,'. NON.HAZARDOUSWASTE HAULERiREcORD · TO. BE USED FOR NON,HAZARDOUS WA~SONLY (Generator Must Complete). ',.'' "!?"i'?'.:::.'i:..'i' i!:' '' · WASTE!TO BEiDISPOSED, ~ ~.. -: ~'? ..... : .~k Type '".~.--.~,;,.,-,.-~',-.. r~,..,-....~..~.,.a .......... Name_ Tm'l~nd Tn~u~trle'3 L~-d Generating Location 30]_? P~o~c~ g~'~_d; ..~ Field Address 2~;8'3 ~c---'gl-"-c ~cc~ Special Handling Instructions: · City, State, Zip ------.~.""~"~'" .~.~.~- ""~'~"~.-.~..-.. [] Gloves' . [] Goggles [] Other Phone Quantity / ~ ,..,~.~ :,,~...~, _. RW'.. Order Placed By ~±= ?2rtln, .u.¥A I~ DESIGNATED'FACILITY Signature of Autho~nt Name Clean Ee!!_- !ac. - Address 2!33 ??--' .... Date ' J~/'~'~/~'~'/ City, State. ZiP'i'-"'-'?-=rcf"'~_!~_. '3_% 93307 Title ,'/f E~/.,C/'. ~-~-4) z_ D~-/' g' 7- Phone ~,n~.~-~_.~740 ~~ i~.~~- {Hauler Must Ticket · Unit ~o. / Name .L~.S Tra=cport'_-U!on, Inc. [] AM ~: Address P.O. Be.'-:. 5295 Pick Up Date "~'~.-% ~'--~'~/ Time./-'~'/f '(~', City, State, Zip -~ak~-rs£ie!d, c-~- 933~ NOTE: This form to be used in lieu of the California Department of Health Sen/ices ~ Hazardous Waste Manifest ;or NON-HAZARDOUS wastes only. ~ Phone (~05) 5~9-5220 REMARKs:. ~ '' ~ SignatLKe of.Authorized Agent or Driver r~:] oo. ~:,...~ ~ o ar'~ t '~ Date .. ~ (Facility Operator Must Complete) . : · '-., Quantity Received ~')';')..~ ~, Bbls.Date Name ( "-~--.:....-,, ,~, ..-"-.,'~ ' - ' :. . ' Address ~: ~ '. ~"' ~"' . .~; ., ....... ., ¥... .. .... Time [] PM :' "'~~' t i;,l' ' .. :.i[: ..,ii ~".': ' :' City, State, Zip \'"., ~-~-'~~,,~,, r/" ~ L~o' '~ ' ' '" -- · .... DISPOSAL METHOD: [] Surface Impoundment ' [] Injection ~ , "~/ '~:~ [] Landfill [] Other Phone ~,",.": I ' ~'';/? ~r" ~ / Disp. Ticket # ....... .' '"' Signature of Authorized Agent ..~.,,_~. Date Return Copy To~ GENERATOR UNLESS OTH~=RW~S£ SP~=C'F~ED ~ i' . NOTE: It is not necessary to send copy to Dept. of Health Services. Y~' ....... · ' ~' ' · ./q ./~/ NO HAZARDOUS FEES SHOULD BE LEVIED =o,u ~vs.~-~o DISPOSAL COPY (805) 397-2740 , , ~ ...... " TRANSPORTER CERTIFICATION: ~ acknowledge receipt of the soil described a~ve and TRUCK LIC.#_ .. . :., 'z"~ . .. ce~y that the ~il is being-delivered t° the Designated TRAILER LIC. ~ "~?)~ ~:'~;: ~ %" the same cond~ion as when received. ' Facili~in exactlY ..... ; ...... able u~n CleanSoils DRIVER i RECEIVER ':'"-:~;a~ -- TRANSPORTATION PE~ ~ Fo7 reCeiPt of ~aymb~frOm clienggenerator. .' Date ,) ~//~ ' · ' " ' ~, Well, Tank No. ~" ' "~-; ~ P.O. BOX 5295 · BAKERSFIELD, CALIFORNIA 93388, - · , ,. ,'v '~lField or Area ........ · (805) 589-5220 ';' " ' ..... ' N.° 115707 "'" NON'HAZARDOUS!~~E HAuLER'i-R~oRD ~ ~ TO BE USED FOR NoNH~RDOUS WASTESONLY:. " . (Generator Must Complete) :" . ' .... · ::'.::"'~.":i. ' ' WASTE..TO. BE DISPOSED · . Special Handling Instructions: City, State, Zip ~ [] Gloves . [] Goggles [] Other. ~: Phone =~ QuantitY?i:~ -~:./ ..' '~t~? Order Placed By ~ ~ DESIGNATEDFAOILITY . Signature of Authorized Agent Date_ z~/',~l/~/' Address':"i 'i.~ :!~' Title ..,~ C~ty, Stat~. ~P:i':': ~ ' ~~~(~r ~st Complete) ~ Phone ' -- ' :,.. Name ': Unit No. / ,~ -'-'"~: '" "" ""'"":~'~' ' [] ,~.;. Address ~ Pick Up.gate.~ Time ._~=~2 - ..~ ,~:M.': ~ City, State, Zip ~ NOTE: This form to be used in lieu of the California Department-o[ Health ~ Phone t~n~ ~9-~?'~n Hazardous Waste Manifest for NON-HAZARDOUS wastes only. se.~r~. '..'. ~ REMARKS: ....: G~b Signature of Authorized Agent or Driver --' Date ~ ...... perator Must Compl Name ~ '~_~.,. . _'/~, ... · ' ' ' ' '-' - ~ ~ , ~ IJate '-. Address., ~ .' ~.. -,~- .. , , /. ~......'..:'.: :,.-.... ~ .:'::-~ [] ~ . . , -, ,. . , · :. . . . -:. ..,, ,,. - _~ ~ -- : ' . ' :'." Time r.~ City State Zip ~= ~.,~, / [,:-/: ,.-':' /-~ ~ - '~i'""':':" :" "' '';::'!' '":'*':' '~ --~L,JPM ..... {' / ~- - DISP~-'" . ,...: ~hone ' "'-" """~ ~ ~p. ~-~cket ¢ ,"':,"','/ ~-', 7 '" ~ M~HOB: [].S.rfaoe ~mPo".dm~.t [] .... : ' ~ " :¥: [] Landfill r-I Other Signature of Authorized Agent .;-.' Return Copy To: GENEI~"rOR UNLESS O'II'IERWISE SPECIFIED i ...... .' :,/ Date " ..... , · ..... ;': , ?~/".,/,~ NOTE: It is not necessary to send copy to.Dept, of Health Services. :o.u ~vs.t-~o DISPOSAL COP~ NO HAZARDOUS FEES SHOULD BE LEVIED