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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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R <br /> Waste No. 951225 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name Santa Fe Railwav Companv .lersev Island <br /> Generating Location <br /> Address 740 East: Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 42408 <br /> Phone No. Phone No. <br /> BFI Waste Code � #- M p T I I I ED I I I I I I Containers Type <br /> Description of Waste uantity Units No. T pe D-Drum <br /> 0 0 0 2 0 a C-Carton <br /> LJ B - Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> P-Pounds <br /> I El m 0 O-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 /> G - r <br /> C/a Fk - TTT_ <br /> ,. <br /> Grator Authorized hydnt Name Signature I Shipment•Date <br /> TRANSPORTER <br /> A <br /> 510-634-6850 <br /> Truck <br /> Truck No. f Phone No. J (n(, <br /> Dillard Tru._kirg, inc. 279/1 lA Y2 `� / QU �. _`� <7 <br /> Transporter Name Driver Name /Print) _ <br /> Address P. o. Box 218 Vehicle License No./State 9 7 <br /> Byron, Caliornia 9454 ^� <br /> Vehicle Certification `�J - <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> al listed ttiggenerator te riabove. put inc dent to the destination listed below. <br /> to <br /> Driver Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> Site Name E.F. I . `:asp_• K, ad Latufi 111' Phone No. — 3 1 <br /> ,i,n: :Cur.i, .._e c n,i. , i_i oe r mo rs. ti-,>>o <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 �t Date <br /> I <br /> PASS CODE <br /> 10186 BF1260-720 <br />
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