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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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' Waste No. 951229 <br /> Systems TM <br /> BROWi. =ERRISINDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name Santa Fe Railway CompanyGenerating Locationersey Ialand <br /> Address 740 East Carnegie Road Address Jersey Ialand, CA <br /> I��Sanl� Bernardino, CA 92408 <br /> Phone h `--� Phone No. H LI— <br /> BFI Waste Code M P T I Containers <br /> Type <br /> Desai tion of Waste Quantity101 Units <br /> ❑ No T m LJ D-Drum <br /> 0 0 0 � 0 Y p C-Carton <br /> B .Bag <br /> CONSTRUCTION DEMO LUMBER I�T� �f ITI ,r-�I T -Truck <br /> At e�� jA ;1 , L,� � t (r rra�(r <br /> ��J�L�LJ W P-Pounds <br /> �-r-� Y-Yards <br /> m � 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 /> II vVv �r�J /"l ���-C✓— U ( 7 <br /> senerator Authorized Agent Name Signat re Shipment Date <br /> TRANSPORTER <br /> h <br /> , 510-634-6850 <br /> Truck No. <br /> Phone No. <br /> Dillard Trucking, Inc. 279/1 <br /> transporter Name Driver Name (Print) �'/'= <br /> Address P• o. Box 218 Vehicle License No./State <br /> Bvron, California 94544 / - <br /> Vehicle Certification v <br /> i <br /> I hereby certifythat the ab a named material was picked u I he j <br /> p aby eertifys at the above named material was delivered with- <br /> at the generatersk listed ab ve. UC cide t to th destination listed below. <br />]aver Signature Shipment Date Driver Si eture Delivery Dale <br /> DESTINATION <br /> 3ile Name B.F.I. Vasco Road Landfill Phone No. 5 1 —14 4 i 0 4 9 1 <br /> lddress 4001 Nortb Vasco Rd. , Livermore, Ca. 94550 <br /> hereby certify that the above named material has been accepted and to the pest of my knowlleeddg�ey the foregoing is true and accurate. <br /> Jame of AuV. r¢ed Agent Si nature Receipt Date <br /> PASS CODE <br /> 0M <br /> BFI260-720 <br /> TRANSPORTER RETAIN <br />
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