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COMPLIANCE INFO_PRE 2019
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2200 - Hazardous Waste Program
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PR0514414
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COMPLIANCE INFO_PRE 2019
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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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t Waste No. 951-195 <br /> BROWNING Systems TMINDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST' <br /> GENERATOR <br /> Generator Name Santa Fe Railway Compasy Generating Locationersey_Island <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. —1 1 1 Phone No. <br /> BFI Waste Code L:D M I P I T I Containers Type <br /> Description of Waste Quantity Units No. Type D-Drum <br /> 0 0 0 2_ 0 Y❑ C-Canon <br /> LLLJJJ B-Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> P-Pounds <br /> m � Y-Yards <br /> 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 /> Generator Authorized Agent NameSignature Shipment Date <br /> TRANSPORTER <br /> / 510-634-6850 <br /> Truck No. Phone No. <br /> Dillard Trucking, Inc. 279/1 <br /> Transporter Name Driver Name (Print) �DToeor��C <br /> 'T -Jn/ <br /> Address P. o. Box 218 Vehicle License No./State /-///d 70 <br /> Byron, California 94544 390706 <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up I hereby cceertiiffyy that/the bove named material was delivered with- <br /> at the generatorlists above. O out iiw"`� th�des nation listed below. <br /> Driver SignatureShipment Date river Signature Delivery Date <br /> 411 <br /> r <br /> DESTINATION <br /> Site Name B.F. I. Vasco Road Landfill Phone No. 5 1 0 —4 4 7 0 4 9 1 <br /> 4001 North \avco Rd. , Livermore, Ca. 94550 <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 Recetol Date <br /> PASS CODE <br /> i OiA6 BF1260-720 <br /> K ' <br /> TRANSPORTER RETAIN <br />
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