310017_Animal Waste Transfer Record_20180308

FORM TRAN-1
Animal Waste Transfer Record
Record Each Transfer of Waste Between Lagoons or Third Party
Facility Number 3 I - I I
Farm Owner �r-v ( Irrigation Operator (�
Owner's Address �r l� �`�X ���3\\ J Irrigation Operator's lift-
,�,, nn `�
w0AC"t., IvC �- �' Address l lG. <� 9vG cq tqu c.
Owner's Phone # G - Operator's Phone #
Date Time Nutient Transfer From Transfer To *Volume **Third Party Information
Analysis (lagoon ID) (lagoon ID or third party) Transferred Permit # Name Phone #
3), � a S � -3 �y� L��10 ,� Wz 3 � tx�i� (Yl r- �, 9 (z' � s
3 a9 �;i -5 a 135 7"7cc) f� 3 �L >-7 i-�� FV
*Volume Transferred must be recorded in gallons, tons, or cubic yards. 31t4/2003
*"Third Party must be provided with nutrient analysis.
Waste Transfers over 4 cubic yards must be accepted by a permitted facility or a field in the permittee's WUP.

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FORM TRAN-1
Animal Waste Transfer Record
Record Each Transfer of Waste Between Lagoons or Third Party
M Facility Number - I `�
Farm Owner \ ' lU (' . Irrigation Operator
Owner's Address �` C7 cv- x Irrigation Operators �� E� �r,�3q
W Q\\0.� INC. Address t-C.JQ\ \\
Owner's Phone # � ' S� W 5 Operator's Phone #
Date 7utientFrom Transfer To •Volume "Third Party Information
ID) (lagoon ID or third party) Transferred Permit # Name Phone #
g ILS � �JI31 i7 mi-- Vxb N � 313 boi
'Volume Transferred must be recorded in gallons, tons, or cubic yards. 311412003
"Third Party must be provided with nutrient analysis.
IVaste Transfers over 4 cubic yards must be accepted by a permitted facility or a field in the permittee's WUP .