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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0521716
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
3/20/2019 3:23:08 PM
Creation date
10/31/2018 11:41:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0521716
PE
2220
FACILITY_ID
FA0000185
FACILITY_NAME
CITY FOOD & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CAMBRIDGE\16470\PR0521716\COMPLIANCE INFO\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
8/15/2013 8:00:00 AM
QuestysRecordID
2028394
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Jul 23 03 10: 20a Rir.hard Thompson 925-226-2050 P• 5 <br /> Z002/006 <br /> 07/17/03 1.1:55 F-A1 <br /> rCvcnt of Toric Su6atanas Cmlml <br /> mantel a:w Aeaa;v See instructions on blade of Page 6. D°pO $angnenb,GrSorala <br /> e.20.50-00391EspF.9.3o-991 <br /> Fam designed Sar ws an ahk 1771p11eh11yp Mvnlfu'r Doc menl Nv. Z-P�eF Inlamagm In lAs tboded vrm' <br /> 1. Gun•weld.US EPA ID No, is.,a m9ulted by F°d--1 kv. <br /> UNIFORM ppyARDOUS d p 0 1 1•f <br /> WASTE MANIFEST <br /> 3. TC�SCOwe4 �a dMaicng„AM,- SITErL-lI.0\2.05 <br /> 2000 CROW�R YP/L, STE. 400 wrckuR a w <br /> o <br /> SAN RAMON. CA 94533 � -S�-Q$� <br /> ,. roman./s Phan.I 929 277.2305 _ <br /> A d. US EPA ID Number <br /> r 5.Trompalpr T C.mpe,ry Nome <br /> m FUEL FILTRATION - WEST ARO D 1 6 8 5 7 <br /> 8 1, Ds EPI ID NUmbor ", {%dam <br /> 7.Trampwlm 2 Camparry N-aw <br /> CROSBY & CVERTON <br /> V 9. Dmipnalyd Fad6ry Name end Wes Adder 10. Us EPA ID Num6w <br /> d CROSBY & OVERTON <br /> a 1630 W. 17th ST. <br /> LONG BEAM CA 0813 A 0 0 2 8 D 9 0 1 9 <br /> v <br /> 12. Cave vers 1'-. mml -d. Vn:I ' .4 <br /> I, US DoT D.oarlpdo livdudi.g Propos shipping Nom,Hamm door,and M Nutl,bafl No. T Ouvntl wr)vol <br /> R <br /> RQ, WASTE FLAMMABLE, LIQUID 0 4i D M 0 Q S G ti <br /> 3 0 N.O.S. (GASOLINE), 3, UN 1993, PGIII <br /> E <br /> m E <br /> R <br /> v a <br /> a T T _ <br /> m O A <br /> R <br /> Ciu d. A <br /> fit �Cy <br /> U <br /> W _ � <br /> H �r <br /> � �s � °fik ar Af�S � }i•�.�� e�"r..nA,P _ .,9 :+. e.+�- 1 a.��d.vit��l'3 #.T� n:`.�. <br /> Z IS. <br /> speewl K iai Hk `m t o <br /> .r,d61g In11rued.I,u axrd ydd'a nol lnl.rm.11on <br /> F WEAR PROPER PROTECTIVE GEAR <br /> z IN CASE OF EMERGENCY GALL (510) 633-0336 24 HOURS <br /> W <br /> Y <br /> r <br /> J caadv clmsihed, rue <br /> 16. GEHERAid1's CFRTIPIG710N: Ihaeby declam dwtlhe wmanlz aF lTeema,gvmanl era fully aeeuralelyd rinIema1ro6s ProPerdflP(dr'R <br /> Q meHwd,and 1a60kd,od ora in all-'i o0 in pmper mnditi.n for Imrow by higl,. aecerdfng b wp'.clf a Inlemaf n ( nd msvna18wammeN regulaFem. <br /> U< , <br /> IF I ea o la.g ee^emlar,I<arrily(hat I haw a p ram iv place tP value.the•al c and hmicils al wmb gs..,ad ro the degree I haw da4rminad 1.6a ec.nomie.11y <br /> H pm 66 and(bat IV—wkacd 16 ,adtm61.marhad eF naaanmt.:brvpa, r d6l,mal wrrmlly—I-bk b mc..61A nuntmtan Iha presrnl and fu"'th'"'m human hcnU(n, <br /> aMd the wwirarunrnt:OR,if I am a mall yuonry genesvlor,16en meda a gwd kith eQ to minivi a my.1.g.numGm om1 sled 16e 6ul wasm mvn.p.ment medmd that is <br /> 0 ..nila6la to me and 16m I w^aH.rd. <br /> Meath OW Yaar <br /> P' led/Typad Nam. SlgnaNnr <br /> a T 17.Tron odor 1 Aelm. W ..em of Rem" t of Mabda6 app pay Titer <br /> a <br /> r <br /> Pdad/Typed Nam Slg ure ps <br /> of Y <br /> It <br /> -^-- [ <br /> s h �SF <br /> w 11. Tram mor 24krw.led em.nt-1 Rani .F M.Imiu6 <br /> Q j PdmPd y N <br /> w 1 v <br /> R <br /> aj 1 oepanry indk�hen Spam <br /> Z F <br /> _ p <br /> c <br /> 1 <br /> / 2 . F.cdl O .r w O .—.r C.dih..nav of m el 1hamrda.s..1.6-6 m 6 IN on< f as holed in Ibm 19. D vy Ymr <br /> T P nlPd/Typed Nam. ! - Sign O <br /> Y W Fr,•/e..�1}�.L f/ <br /> DO NOT WRITE BELOW THIS LINE. <br /> While MDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS, <br /> DTSC 1022A(1/991 Tc. P.O. R..3000, Sacramento, CA 953f2 <br /> EPA 117011-12 <br />
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