My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SITE HISTORY
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
H
>
HARDING
>
16
>
3500 - Local Oversight Program
>
PR0508502
>
SITE HISTORY
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/6/2018 8:23:15 PM
Creation date
11/6/2018 3:17:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0508502
PE
3526
FACILITY_ID
FA0008117
FACILITY_NAME
ARCO STATION #4932
STREET_NUMBER
16
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13902001
CURRENT_STATUS
01
SITE_LOCATION
16 E HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
72
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
i <br /> ON-HAZAREAS SPECIAL-WASTE & &ESTOS MANIFEST <br /> if waste is asbestos waste,complete Sections I,IL III and W. N Q, 512492 <br /> If waste is)Q asbestos waste,complete only Sections I,11 and M. <br /> (Gennre <br /> ectionI _ NERA70R" orepmpietesandfsectonq -' <br /> AMM PROIXICM COMPANY ARCO STAT10N 604932 <br /> a. Generator Name: b. Generating Location: <br /> c. Address POB 5077 d. Address: 16 E. HARDING <br /> BUEN)k PARK, CA 90622-5077 STOCr"I, CA <br /> e. Phone No.: (925) 2998891 PAUL SUPPLE, _ I. Phone No.: N/A <br /> If owner of the generating facility differs from the generator,provide: <br /> g. Owner's Name: ARCO PRODUCTS COMPANY h. Owners Phone No.: Same as I(e) <br /> � DINI-METAL DRUM <br /> TYPE <br /> Il, BF]WASTE CODE C A 4 ON 0 6 1 7 9 4 2 0 9 Containers DP -PLASTIC DRUM <br /> B -BAG <br /> J. 'Description of Waste: HON-HAZARDOUS SOIL k. Quant' Units No. TYPE BA -6 MIL PLASTIC BAG <br /> or IO O O LY] U i � O -OTHER WRAP <br /> GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR Part 261 or UNITS <br /> any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to P -POUNDS <br /> applicable regulations;AND,If the waste Is a treatment residue of a previously restricted haaardous waste subject to the land Disposal Y -YARDS - <br /> Restrictions,I certify and wartant that the waste has been treated in accordance with the requirements of 40 CFR Part 268 and is no longer a M3 -CUBIC METERS <br /> hazardous waste as defined by 40 CFR Part 261. i-a1t,J/ t reqs DIJARCO9 Cpmgilfly -CUBIC YARDS <br /> 0 <br /> / / O -OTHER <br /> MELISSA r_IRN/ DILLARD ` - <br /> Generator Authorized Agent Name $ig A - i Shipment Date <br /> Generator complete a-d; Transpo <br /> Section H TRANSPORTER rter linmpiete eg � <br /> ( p -Trans rter¢com Tete h-n <br /> TRAN$PORTERI TRANSPORTERII <br /> J _ <br /> a. Name: '/l ` h. Name: <br /> b. Address: I. Address: <br /> c.-Driver Name/rifle: - _...... ?;:.. * ,-(._-IgAer tgape/rfle: <br /> PRINTn YPE �. - PRIWfrYPE <br /> d. Phone No.: e. Truck No.: /1'e- k. Phone No.: I. Truck No.: <br /> I. Vehicle License No./State: ��.� } 1" ' ., in.Vehicle License No./State: <br /> Aoknoled ement of,Receipt of Matefts. Acknowledgement of Receipt of Materials.g. <br /> � rivers nature Shi merit Date Driver Si nature Shi meet Date <br /> p �. .i- <br /> SectlOn DESTINATION {Generator completes ad,destination site completes e t.) <br /> a Site Name: c. Phone No.: <br /> BPI - VASCO ROAD SANITARY LANDFILL (925) 447-0491 <br /> 4001 N. VALCO ROAD 4001 N. VASCO P.O.'1D <br /> b. Physical Address: d. Mailing Address <br /> LIVIMMORE, CA 94556 L1VL:R 40RL, CA ^'. 50 <br /> e.-Discrepancy Indication Space: <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> 3'-T° 1007-11-4, <br /> f V1 PO4 C'9-3030£ <br />
The URL can be used to link to this page
Your browser does not support the video tag.