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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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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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0 . Waste � _ �NO.-s5iis8 <br /> 'Systems <br /> BPOWNING-FERRIS TM <br /> INDUSTRIES NON-HAZARDOUS SPECIAL WASTE. MANIFEST <br /> GENERATOR <br /> e <br /> Generator Name Santa Fe Railway Compnay Generating Locatio7n racy Island <br /> Address 740 F.wct Carnegie Road Address jersey 791and- CA <br /> San Bernardino, CA 92408 <br /> Phone No. �m—I I I I T71 Phone No., <br /> BFI Waste Code FSE I I I I I IContainers Type <br /> Description of Waste Quantity Units No. JT�Y�e,I D-Drum <br /> Y <br /> �I C-Carton <br /> 0 0 0 2 0 B - Bag <br /> CONSTRUCTION DEMO LUMBER m T -Truck <br /> P - Pounds <br /> i Y-Yards <br /> O.Other <br /> 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 ':tg Shipment Date <br /> TRANSPORTER <br /> Truck No. Phone No. 510-634-6850 <br /> Transporter Name Dillard Trucking, Inc. 279/1 - Driver Name (Print) <br /> ,:dress P. O- sox zta Vehicle License No./Stats <br /> Byron, California 94544 <br /> Vehicle Certification, <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 abo out incident to the stl ation listed below. <br /> Driver signature Shipment Date tVel,gignature Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 0 — 4 _ 4 7_ 0 4 9 I1 I <br /> Address 4001 North Vasco Rd. , Livermore, Cc. 94550 <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 /> i <br /> Name of Authorized Agent signature Recelpt Dat9j <br /> PASS CODE <br /> to= '7t - 13F1260-720 <br /> TRANSPORTER RETAIN <br />
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