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REMOVAL_1999
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2300 - Underground Storage Tank Program
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PR0231555
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REMOVAL_1999
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Last modified
7/6/2020 4:43:34 PM
Creation date
11/4/2018 2:08:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1999
RECORD_ID
PR0231555
PE
2361
FACILITY_ID
FA0004027
FACILITY_NAME
HENDRIX FORK LIFT INC
STREET_NUMBER
103
Direction
N
STREET_NAME
E
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318001
CURRENT_STATUS
02
SITE_LOCATION
103 N E ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\E\103\PR0231555\REMOVAL 1999.PDF
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EHD - Public
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03/23/99 15:51 0707 746 8297 ALL WASTE W1003/004 <br /> Was the wastewater tested for anything other than the above contaminants? Yes (.�� <br /> If"Yes'.please describe tests and attach copies of the test results. <br /> Is there any Other analytical test data (eg soil samples) for this site? <br /> Is there any soil vapor monitoring data for this site? Yes NOU <br /> Please describe thea Yes❑ Nog/ <br /> appearance of the waste water? <br /> Color C'� <br /> Estimated amount of sediment (%wt) <br /> Is there evidence of an emulsion? <br /> Estmated Volume of wastewater(USG) �!pYRO Yeso NoLZJ-' <br /> Generators Certification that Wastewater is <br /> /Non-Hazardous. <br /> DESCRIpnON OF WATER. p.r,/ /'I�Z, _17E 44 K(� <br /> ` w3 <br /> NON-H.L'gRDOUS WASTE WATER,MONITORING WEU.PURGE WATER AND/OR ANGER NSATE,TANK R�j <br /> AND AS DESCRIBED ABOVE. '-His WATER MAY COn7AIN DISSOLVED HYDROCARBONS. <br /> I CERTIFY THAT THE ABOVE NAMED MATERIAL IS A UWID EXEMPT FROM RCRA PER 40 CFR 261.4(b)(1 O)AND <br /> DOES NOT MEET THE CRITERIA OF HAZARDOUS WASTE AS DESCRIBED IN ZZ CCR ARTICLE t t OR ANY OTHER <br /> APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED AND IS IN PROPEF <br /> CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATIONS. <br /> The information and representations presented above are true and correct to the best of my knowledge. <br /> L <br /> AAA-k (�j�lL� <br /> GeneratorrAuthoriszd Ag nc <br /> Signature& Date <br /> rn= <br /> Page 2 <br />
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