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COMPLIANCE INFO_PRE 2019
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PR0514414
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
5/30/2019 9:21:37 AM
Creation date
11/6/2018 8:37:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514414
PE
2220
FACILITY_ID
FA0010779
FACILITY_NAME
BNSF - ORWOOD BRIDGE
STREET_NUMBER
3000
Direction
S
STREET_NAME
BACON ISLAND
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
12905053
CURRENT_STATUS
02
SITE_LOCATION
3000 S BACON ISLAND RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\B\BACON ISLAND\3000\PR0514414\COMPLIANCE INFO\COMPLIANCE INFO.PDF
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EHD - Public
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Waste No. <br /> 951207 <br /> OSystems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name Sancta Fe Railway Compaay Generating Location rsey Island <br /> Address 740 EasC Cart:egie Road Address jersey Island, CA <br /> San Bernardino, CA 92468 <br /> Phone No. Phone No. <br /> BFI Waste Code M e T Containers Type <br /> Description of Waste Quantity Units No. T D-Drum <br /> U 1 n U 12 U L � C-Carton <br /> LLLLJJJJ B-Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> P-Pounds <br /> Y-Yards <br /> Elm ElO.Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations. <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> 310-634-6850 <br /> Truck No. Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) -7- <br /> Address ;• o. Box 215 Vehicle License No./State 31 <br /> Bvron, California 94544 .G <br /> Vehicle Certification 3ci 'O-� � <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator site listed above. out incident to the destination listed below. <br /> Driver Signature. Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F. , , vim;.::, Ruau Lard, r'-.t Phone No. —" - " <br /> TTI <br /> 945ti <br /> Address <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 /> Name of Authorized Agent Signature %-' Receipt Date <br /> i <br /> PASS CODE <br /> 10/66 BF1260-720 <br />
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