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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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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. 950503 <br /> BROWNING-FERRIS INDUSTRIES SyStemS NJN-HAZARDOUS SPECIAL WASTE MANIFEST <br /> Generator Name Santa Fe Railway Compnay Generating Location ersev Is lai,u <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. <br /> BFI Waste Code FFEI Ef T Containers Type <br /> Description of Waste Quantity Units D-Drum <br /> 0 0 0 1 8 Y 0 T B.Barton <br /> 9 <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> ā m ā P -Pounds <br /> Y-Yards <br /> I El FT-1 El <br /> I 0 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 tr nsportation according to applicable regulations. <br /> Generator Authorized Agent Name 'Signature Shipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No. r Phone No. <br /> Dillard Trucking, Inc. 279/1 <br /> Transporter Name Driver Name(Print) //--1 i4kFzIzZA <br /> Address F. 0. Box 218 Vehicle License No./State 14C O ?29V ZCA <br /> Byron, California 94544 '916Vehicle Certification 3 00 <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 above. out incident to the destination listed below. <br /> nn <br /> Driver Signature Shipment Date D' r Signature Delivery Date <br /> i <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. L L LāT 1 <br /> j 4001 North Vasco Rd. , Livermore, C. 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 andel accurate. <br /> Name of Authorized Agent Signature Receipt Da e <br /> - PASS CODE <br /> 10/66 <br /> ⢠BF1260-72( <br /> TRANSPORTER RETAIN <br />
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