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01/26!1995 00:33 5416822353 LANE COUNTY WMD nn PAGE 02 <br /> • ~j- YOI' ~ ~ t~» »PC ~ <br /> GtJ r\1 ~ 3g 2 ~ <br /> PERMIT NO. 00000719 <br /> PETROLEUM CONTAMINATED SOIL <br /> D18POSAL PERMIT <br /> Dalte a lication recehred: BJOQ/~OS Permit Fee: Char a $25.00 to account T#34714 # 088-017 <br /> Cha a Account iwE r. Ot>b-017 Fee T e: 41266 Dis osal fees aid b : Generator _ <br /> Financial Limit: 612.00 Tres: 11/10/05 Dis oral Fee: $45 er ton _ <br /> roved tons: 82.5 Haulm to be in: 8/10/05 <br /> Aoce t es; ssb roved by; Chad Ficek Approval date: ~ S/9/05 <br /> Contaminant: Duel Results PPM 470 Source:~ AST Farm <br /> Gen®rator. 01 _ _ <br /> Mailin Address: Slrtset - lflM 141E ne, OR. 97401 ~ - ~ - - <br /> Site Address: irNsrseolion cR L.it»ooln i 3rd <br /> ntact: PungercaNJenniferWillsr Phone: 682-5762/ 682- Fax: 682-6831/ 682-8410 <br /> 5364 <br /> Hauler: O~It~ <br /> Mailin Address: Ave. , OR. 90404 <br /> - ~ - <br /> Contact: Phone: 688-2233 Fax: 688-8610 <br /> onsu tent: ~ ~G~1e <br /> Mailin Address; . BoK 711Sa E ne OR. 97401 - <br /> Contact: 8tev~ l.rvK1 Phone: 484-9484 -118 Fax: 484-4188 <br /> IMPORTANT INSTRUCTIONS <br /> • Call Short tiAlt. l.sndfill a1 Y26-3047 to Schedule an appointment to dump your waste. Petroleum contaminated soil +s <br /> accepted MONDA'll THROU(3rH FRIDAY ONLY. Depending on conditions at the landfill, we will reserve the right to <br /> limit the amount of soil accepted Est the landfill per day. Be specific when you call for an appointment. <br /> • Brins7 a coov d thte oarrt~It wNh you when you gp to thenlandflll, If you are using multiple trucks to haul your waste, be <br /> sure that every driver either has a ovpy of the permit or at least knows the permit number. <br /> <br /> • Fatlura to fobow these ptvicedures may result in long waits at the scales for your trucks or inaccurate billing. <br /> Remember, these pro~sdures are for your protection as well as ours. <br /> 08/10/2005 wED 07:42 [TX/RX NO 5582] (~j002 <br /> <br />