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SITE INFORMATION AND CORRESPONDENCE
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0543393
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
11/6/2018 3:44:41 AM
Creation date
11/5/2018 8:28:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543393
PE
3528
FACILITY_ID
FA0006246
FACILITY_NAME
CITY OF STOCKTON/VICTORY PARK*
STREET_NUMBER
1201
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
13515001
CURRENT_STATUS
02
SITE_LOCATION
1201 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Ganerefar's U5 CPA ID No. Manifest 2, pogo <br /> NON--HAZARDOUS <br /> 1 r } <br /> WASTV AAANfrr.1 '� �ow eptNd;' <br /> 3, Grn r of 1 <br /> 0 otor's Nam*and Moiiinq Addross � <br /> �. _ :,s .• ::��.`3r �n,1;7tr��t tfr�,�7?.;jin1�.E"c'` <br /> +rt M1Tr Z•rr:�tl??�! til�> .?��� 1.�r'�'h� '� {' <br /> s• Gcneratar's F3sonc{ Gti <br /> 5, Tronsportor 1 Ccmpony Name <br /> 4. US EPA'D Ntjmber ltT <br /> li y i <br /> 7. Transporlar s Compeny Nam* <br /> VS EPA ID Number <br /> I # <br /> .q <br /> 4: 11 it plod Fccii;ly Namo and Site Adaress )0- US EPA IC Number it T ,t } <br /> Ff,�;;�} A. ronspart�r�f:.conn 30 640-347R <br /> 2717 A'i !+Trrcr 8. Tror+sporfcr'I Phone <br /> i e rA C it4 C Facility's Phone <br /> t t. wast*SI„ .�..._ L' �� <br /> pn rt, Namo and Descrip+ion Ik 12, Containers 13. 11, <br /> Total !snit <br /> T r No. Typo _ QvOlr,t^ilZ�'w1 V*f <br /> �I I <br /> Er <br /> R <br /> fa ' Ir <br /> -, <br /> D. Addifianat 15e:crioticns !or Mataria!i i.;sicd f,ba�* ' • ti } <br /> 1• �' �� s '' ."t�:!` '^ ^� r r' �r}(+ * t.,,. . �, j E. Mandlir,p Codes for WoVes Listed Abo,* <br /> J wJ•�i.i�i[1 � <br /> li <br /> 15. Spcciai Hondlin9 Instrlclians cnd Addilional Information II <br /> _ 0 <br /> 0i(Tr is io T.fi <br /> I r S <br /> i! <br /> td.GENERATOR'S CERTIFICATION: i rot+ity ,ha ofar;ols drinibad nava of fhlt mondaff pro not ,ubiocr ro iadero! .egv;orom for reportlnq Proper dl"wl of PcIa'dout werta, <br /> Primed/T <br /> YPodNcma <br /> i `�1,,,,,�•�f 1�,�r� 5ignpsvfe I ,.y� ;`J j f March Coy year <br /> RT�i7.TTranso*rter f Acknowledgement of Recciaf of Malerlals I !j i <br /> A Printod/Typed Nome <br /> N S;Qnasv�e Ir Yrar <br /> S}anih ppy <br /> q. <br /> 0 18.7ransparter 2 Ac4nowledgamenf of Receicl of hioterials <br /> R t" <br /> RTI Printed/Typed NpaptG Signarvre } ssoruh Day Yo-or <br /> 19,Mwepancy indication Space <br /> ti 16 <br /> F I <br /> A <br /> E <br /> 20,Far.;Gly Owner or Operator, Cerrif cation of ra<C;psof wasto maferivis to red by this maniteot exccpf os noted in item 14. <br /> T l u <br /> Y <br /> ?rim7/Typed N tap {51Cnoty f � ^. Monih pay Year <br />
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