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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2908
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3500 - Local Oversight Program
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PR0544111
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
2/7/2019 12:29:29 PM
Creation date
2/7/2019 10:28:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544111
PE
3528
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
02
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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. .07,07/94 09:47 NO.585 903 <br /> wa,0' <br /> ti3 <br /> N a: <br /> systemsTM <br /> . . (� HAZARDOU5 SPECIAL WASTE. MANIFEST <br /> BROWNING-FERRIS INDUSTRIES - .`N <br /> GENFRATOR <br /> Generator Name 'AItGO I'AODl7CTS, : n t' w`.„#, Generating:Looation ARCO STATIOU ff,2 <br /> Address P.O. Bdx.1.3a1I' 2908 Benjamin fiolt <br /> Address <br /> San Mateo, -CA 94442 .Stockton, CA <br /> [�— <br /> Phone No. 4 i' S - 5 1.1 2L� Phone l o.• -FTJ <br /> 4 0 1 il`Y 2 2 9 3 5 3 4 6 0. Contalners Typo <br /> BFI Waste Code D Drum <br /> Description of 1Naate Quantit Units NO. Type <br /> ❑ C 'Carton <br /> NON LIAZARDOUS 401L ; 0 0 Y 0 T ti•Bag <br /> T •Truck <br /> ' P-Pounds <br /> Y-Yards <br /> : r •. ;v,r`�"i. � }. ,-�t*1.�� 0-Qther <br /> J. <br /> I hereby certify ttia# the above,namdd rii jer )oe$ riot contain free aiquid as defined by 40,CFR Part 260.10 or any eppkai blp <br /> state law, is not hazardous waste as”.de . ...40 CFR P rt 2611 dr.any.applicable state law, has been properly described; <br /> ified and pa kagdd,_and is iinn�prooJp rtdI ,fo tran nation according to applicable regulations. <br /> y(`I• 4 �5 9 <br /> SRIpMent Date. .. <br /> Qen rato�Authorltod A9�.�-�1i,� 3;� `.k; `�`�,y"I• ,; `,.� •�y, a�:�, <br /> lla` . <br /> „ ' n (510) 634-6850 <br /> Truck No. )E 24r i1�S�k n7 Nor <br /> .��Y��'�� �T�G��x•A y 1� a>, �nk; �' 1.""l[J�►r! � �� +�!�''t. <br /> nvba <br /> Transporter Nam7777 <br /> e rr1 �Fit3(Pring , <br /> L Q �e �iF1' •fll _ Mk :' „'•k. .•r _, T <br /> Address 4`" r*' Veh16le Qt;pnse No./StarIMe Y <br /> Byron. trA ' 9414 �' <br /> rtfficati:on <br /> I hereby certify that the $bays named rnatfsrta�,� k �9 ttp' i hafiaby ctjrtify that the above named material was defivered with- <br /> at the ge rotor.sit9ai6ted ai3csgai" <br /> vp �. out.`lltsr)dent to destination listed below, <br /> t .. !. Simi Lr <br /> DA Signature ��{` Ii1Ptt1•At Dgta rtyr�atura' Deilv4fy Qata. <br /> DESTMATION <br /> B.F.2. Vgilcd Rd. Landfill :.2 r.n:.'ira2-iQ122.' <br /> Site NamePhone No. <br /> 4001. North Vasco Road,' Livarwore ' CA 94550 <br /> Address <br /> I hereby certify that the above named material tas been koepted and t4 th9 best of my k owiedge the foregoing Is true and accurate. <br /> Name of Authorized Agent Signature its' <br /> 11PASS CODE <br /> SFR28o-720 Bt <br />
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