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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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PR0513812
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
9/29/2020 10:59:00 AM
Creation date
11/1/2018 1:56:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0513812
PE
2227
FACILITY_ID
FA0009394
FACILITY_NAME
MAXIM CRANE WORKS
STREET_NUMBER
2373
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
Rd
City
Stockton
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
2373 E Mariposa Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\M\MARIPOSA\2373\PR0513812\COMPLIANCE INFO PRE 2016.PDF
QuestysFileName
COMPLIANCE INFO PRE 2016
QuestysRecordDate
9/12/2016 9:31:32 PM
QuestysRecordID
3189759
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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BILL OF LADING 1 Cuppemnnw�UgEPA ID Na �a R =me ��, <br /> Docnrmem No. 1 e iJ• of 9. <br /> 3.OenistWs Ilene end Melling Addrees <br /> PA*M CRMIit Z C=KG <br /> �P�qo(�Pg¢-D��:5X�39 <br /> e.Oend&bf6Tldrfe-1 1-9 776722 <br /> S.Rerupamer 1 con""Neme 6. US EPA ID Number A Steve Tranporbh ID <br /> 4MURY CMVIN;CHC:dCzNVA C A®O L 0 2 7 7 O 2(3 S.Trenepnbr 1 Phone <br /> T.Tlarnpons,2 Campaay Name 9. US EPA ID Number C.Sbb i <br /> nanapartsfe ID <br /> D-Ren PVrer2Phon <br /> 9.DoeVabee liability Nemo an Sib AdOMe 10. US EPA ID Number E.State Fedlitys 1D <br /> IL-BMMO REOURa EGr/ <br /> Mov 9-VRIA ��Y3D��r`RR F.Fadpldys Phos <br /> MIWAR® CA M7C& <br /> 11.WASTE DESCRIPTION 12.Contalrere 13. 14. <br /> 140. Type Tafel Unit <br /> Ouenuty VVLAVd <br /> s <br /> DAUMP-9"URE EW-PAL WART <br /> 4 el .10 <br /> C7 <br /> Z a. <br /> 0 <br /> LL <br /> g <br /> O.AddNonel Deecdgbne br Maladab U&etl Aows H.MmMlirq Cod;;far Wastes liate0 Above <br /> O <br /> J <br /> J_ <br /> m <br /> 15.Special HaMling Inatruclon well AOdtlonW InbrriWlan <br /> NWROPMAYE PERSMAL PROTEC`dNE EQUIPMENT <br /> SrM: 2983 E C�RRMPOSA ROAD.,MCKTON,CA MM. <br /> 16.GENERATOR'S CERTIFICATION:I hereby certify that dre wnt"of this allignrd are fully en eb,un e*deKdbod and are in all reapecle <br /> in pope,condition to,transport.The matedW 19=1W on me men6ast are rat su0fad W fedaM heaarda a nsgwsti na. <br /> 1.•v' 'a C...— Date <br /> PdraedRyped Name ' e o Monro Day Nle, <br /> TR pobr 1T.Tlanel AdmoMm adgenwof Rsosipt d MNWW* <br /> Crate <br /> A Prmodrryped NameSfprimure Month Day etre, <br /> S T'C- le 1 j <br /> - <br /> P y 9Z <br /> OR 19.71mnpa 2 AcknoMedge nand of 14 o pt of Matereb Does <br /> T Rant WTyped Nemo Sipnlwa Morro Dry YMr <br /> E <br /> R <br /> F 19.D sompency Irdicetbn Spare <br /> A <br /> C <br /> M.F fty cr m a Operetor;Cerdeca6on of receipt cl the wsete materiels c sd by lids manlMr except as wW in dem ig. <br /> Dave <br /> T Pr1meWTyped Name Signature Monm Day yy„ <br /> Y <br />
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