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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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6 waste No. 951179 <br /> oSystems TM - <br /> - <br /> BROWNtNG-FERRISINDUSTRIES NON-HAZARDOUS SF .,I/ WASTE MANIFE _>T <br /> GENERATOR <br /> Generator Name Santa Fe Railway Compnay Generating Location <br /> Jersey 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 /> LEE <br /> �— <br /> BFI Waste Code Edi E P T Containers Type <br /> Description of Waste �Quantity❑ �Un�itls No. T e D-Drum <br /> 0 0 0 2 0 YI I p I I 1C-Carton <br /> LJ L--L�J II�� II 8-Bag <br /> C�O.NSS.TTR�.UCCTION DEMO LUMBER T -Truck <br /> Y-Yards <br /> ( ()/TN I El ❑ F-1O-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 /> i <br /> Generator Authmized Agent Name Signature Shipment Date - <br /> TRANSPORTER <br /> M (� <br /> Truck No. t• 1 t 't - Phone No. 510-634-6850 <br /> M <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (print) AY2 �� l lAU cce '5- <br /> Address P. O. Box 218Vehicle License No./Stat _F <br /> Byron, California 94544 –:3.QQ 17 5 <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 /> al the genet for site listed above. out incident to the destination listed below. <br /> O -- <br /> Driver Signature Shipment Date Driver ign ur ry Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill - Phone No. 5 1 0 — 4 4 7 0 9 1 <br /> 4 <br /> Address 4001 North. Vasco Rd., Livermore, Ca. 94550 ' <br /> 1 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 t C <br /> IIS q t o Receipt Date <br /> fPASS CODE <br /> 11111 10/86 <br /> BFl2fi0-720 <br /> TRANSPORTER RE j AIN <br />
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