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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
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WNg
Tags
EHD - Public
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r Waste No 854308 <br /> r <br /> Systems rM <br /> OWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> nerator Name <br /> 1tio: �ontp, n� S a Generating Location L�• "Y �t "t _`�i} _- tl <br /> dress P 0 Boa 4415 Address 3128 h Benjamin Holt D. <br /> uuuston Teas 77310-4415 Stockton Cal:foi ,li" <br /> one No 0 1 0 — 2 1 4 1 6 8 ` 0 0 Phone No <br /> C 4 5Containers Type 0 6 1 7 9 2 1 9 6 1 7 <br /> I Waste Code � <br /> Description of Waste Quantity Units (�No Type D DrumC Carton <br /> 0 0 0 1 8 [E I 0 I f I E Bag <br /> \O HAZARDOLS ❑ L t JT -Truck <br /> SOIL ❑ <br /> P - Pounds <br /> Y - Yards <br /> ❑ FI .— <br /> 0- <br /> 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 condlthoK7�ior r sgorttion according to applicable regulations <br /> 1 `! <br /> ierator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER- <br /> ick <br /> ack No �� � Phone No 510-634-6850 <br /> Dillard Trucking Inc ' <br /> insporter Name 4eb _22 50 _. ._. Driver Name (Punt) <br /> dress P 0 Boa 218 Vehicle License No /State U �o <br /> Bion California 94514 <br /> Vehicle Certification -� <br /> ereby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> the generator site listed above out incident to the destination listed below <br />,er 9y6naiure Shipment Date Dr1v&3ldnature Delivery Date <br /> bESTINATION <br /> e Name B F I Vasco Road Lardf i l l Phone No 5 1 0 — . .a. . .. 4 7 0 9 9 <br /> 4001 North Vasco Rd Likermore Ca 94550 <br /> dress <br /> ereby certify that the above named material has been accepted and to the best of-Ky kkn6;1edge the foregoing Is true and accurate <br /> r _ <br /> - 1 4D12 <br /> i <br /> honze__„__.__ d A9eni Si nature ' / `pec t Date <br /> i <br /> i <br /> PASS CODE <br /> 36 BF1260 720 <br />
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