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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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Tags
EHD - Public
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Waste No 854310 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIESNON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> -\Nor Compar% L S A L%titin Stotion -7-3330 <br /> Generator Name Generating Location <br /> Address P O Boy. 4415 Address 31 8 k -Benjiumin Holt Dr <br /> Houston Texas 77310-4415 Stockton California <br /> Phone No 6 8 r 0 0 — <br /> 2 <br /> Phone No L�W <br /> FT <br /> BFI Waste Code C A 5TT-A 0 6 =9 1 71 9 6 1 7 Containers Type <br /> Description of Waste Quantity Units No T Pepe D- Drum <br /> 0 0 0 1 8 ElI - i C Carton <br /> I . I B - Bag <br /> NON H4ZARDOUS s T - Truck <br /> SOIL ❑ m ❑ P - Pounds <br /> Y - Yards <br /> F-1m [: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 conditio a rtation according to applicable regulations <br /> Generator Authorized Agent` arae Signal Shipment bate <br /> • <br /> 110--634-6850 <br /> Truck No > Phone No <br /> Dillard Trucking Inc (a <br /> Transporter Name Driver Name fTFnnt) <br /> Address P 0 Box 218 Vehicle License No /State <br /> Byron California 9.1514 30v �� --) <br /> Vehicle Certification <br /> I hereby c90y that the above named material was picked up I hereby certify that the above named material was delivered wi <br /> at the gene for site listed above out incident to the destination listed below <br /> i <br /> aver Signature Shipment Date Driver Signature - Delivery Date <br /> DESTINATION <br /> Site Name B F I Vasco Road Landfill Phone No <br /> 4001 North Vasco Rd Livermore Ca 94530 <br /> Address <br /> 1 hereby certify that the above named material has been accepted and to the best of , nowledge the foregoing is true and accurat <br /> f Authorized Agent Signature Receipt Date <br /> FF Now <br /> PASS CODE <br /> B F 1260 <br /> 10186 <br />
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