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ARCHIVED REPORTS XR0000652
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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BENJAMIN HOLT
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3128
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3500 - Local Oversight Program
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PR0544112
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ARCHIVED REPORTS XR0000652
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Entry Properties
Last modified
2/7/2019 5:25:12 PM
Creation date
2/7/2019 3:35:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000652
RECORD_ID
PR0544112
PE
3528
FACILITY_ID
FA0005145
FACILITY_NAME
EXXON COMPANY USA
STREET_NUMBER
3128
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09523002
CURRENT_STATUS
02
SITE_LOCATION
3128 W BENJAMIN HOLT DR
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Waste No 8 5 4 3 2 6 <br /> Systems TM <br />)WNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> IF <br /> Ierator Name E%xon Corapai,N L S a Generating Location Stal.ion =7-3330 <br /> cress P 0 Box 4415 Address 3128 h I Benjamin Holt Dr <br /> Houston Texas 77310-4415 Storl<toi Callfornja <br /> ane No [=-12 0 — 2 4 6 8 `r 1 0 0 Phone No <br /> EEA 4 5 0 6 1 7 9 2 1 9 6 1 7 Containers Type <br /> Waste Code <br /> Description of Waste Quantity Units No Type D _ Drum <br /> 0 0 0 1 8 E E C Carton <br /> 1II B - Bag <br /> SOIL HAZARDOL S F1 � 1-1T - Truck <br /> SOP - Pounds <br /> Y - Yards <br /> ❑ m ❑ 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 condip fo sportatin according to applicable regulations <br /> i <br /> X(CL,(_ c <br /> 1 � c <br /> erator Authorized Agent Nance Signature Shipment tate <br /> TRANSPORTER <br /> 510-634-6850 <br /> ck No Phone No <br /> Dillard Trucking Inc <br /> nsporter Name ;T Driver Name (Print) <br /> cress P 0 Boa 218 Vehicle License No/State <br /> Byron California 94514 <br /> Vehicle Certification ..... — ... .. <br />�reby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> he gener or site listed abov out incident the destination listed below <br /> er S�igature Shipment Date Iver Si na~re Delivery Date <br /> --------------------- <br /> DESTINATION <br /> Name B F I fiasco Road Landfill Phone No 5 1 0 — 4 4 7 0 4 9 ] <br /> 4001 North Vasco Rd Livermore Ca 94550 <br /> cress <br /> areby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> horned Agent Si nature Receipt Date <br /> i <br /> i <br /> PASS CODE <br /> v6 <br /> BF1260 720 <br />
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