My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
CO0045285
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
P
>
PACIFIC
>
3
>
2500 – Emergency Response Program
>
CO0045285
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/24/2019 5:19:05 PM
Creation date
2/11/2019 9:24:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0045285
PE
2546
STREET_NUMBER
3
Direction
S
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
03511012
ENTERED_DATE
12/15/2017 12:00:00 AM
SITE_LOCATION
3 S PACIFIC AVE
RECEIVED_DATE
12/15/2017 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PACIFIC\3\CO0045285.PDF
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
203
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Please print or type.(Form designed for use on elite(12yNch)typemUec) <br /> 1.Genemlarl0 Nr4Mu Form Appmved.OMB No,2050-00:39 <br /> UNIFORM HAZAR000S 2.Page t of 7.EmrnOeny Resrronx Phone 4.ManHastTmd ng Number <br /> WASTE MANIFEST CAQ�0576483 ,.�� 017145638 JJK <br /> 5.Ge b"Nemo end MaTn9Admea Cxmuamh 74AtldmSa(f d'flerenl man nwTrtg address) <br /> .LoD�uAliFa�D SG/{apL]����-,� L.oD� u-SD Low; Ni6f/ SGf{cro L <br /> /305 6. d,7.Tar 6.fe6Ey-. <br /> Di, cA.95a.4sa 3 s. Pad1G:�-dG ,q-v�„1� <br /> Genramh l'yune: Lo CA, 952�2 <br /> 6.rru15porlerl Company ansa <br /> RAII EMRRONMENTAL SERVICES INC. U.S.EPA IO Nu bff <br /> 7.Trampamr 2 CMVNV Name CADD44OMSM <br /> U.S.EPA 10 Numhu <br /> 8 Desgtaled Foaty Name and SNe Pd�es� {��S TEyCyHN{C{LL SOLUTIONS U.9.EPA 10 Num6cr <br /> FICF�1C1fUO,CA 9df�7 q� <br /> Facitya PhelldfdQQ2113- L'f1Tpg}t�Jyp� / <br /> ga 9h.US.D0T0egrtplkrt(Yrhadng Pmpu Shgpmg Nine,Mamrd Oars,IQ Nu1Leo 10_cadairiers <br /> NM wW�9crmpfdma)1 rt.mkt 12.Unit 1d.Ylaste Cade: <br /> No. Type Urentlly NM1Nd, <br /> b�8ers,w f u wA4erc,soap�,4lc�fls{�P�a 331 <br /> Z z 30 <br /> u <br /> 47 <br /> 3 <br /> 4. <br /> 14.Special ftK&A 4tlnmuo and Atlddknal fnmrnradon ' ' <br /> 981)PROFflEff ERW 1.7-1 peoti'7,5 .to�yz3-�DJ�'s,S-G•gC .S� `�ES-r/e2._ <br /> E.R. CONTRACrM RAMOS ENVIRONMENTAL SERVICES <br /> HANDLERS SHOULD 8E TRAINED AND USE APPROVED PPE <br /> 15. GMMTWSMFR3MSCMMFI6ATroN:rl+e,mideclaremalmemda.d�dms larewyandaweereryaesm>baem�mgorewmersNwYaiane,andan,mry6ed,wdm9L, <br /> madxd Isd Mhdedfdamrdni ad me m al respgh m prrpar mrtdZcolt mrtranspal m aPpfsahla 6dematlona'Ind mdorrel <br /> Espoft,,1 cwofy mal me=tents Of fa mulgmrod mNum m Mknm dme-bdwd EPAAdmmsfedgmem o(CmseW. � 'if I'Pulslipmmt all I em ma Pdtrwy <br /> IM-1I Bull III wast,miNffw stahrml W&ffad m 40CFR=(a)(it am a tinge vuan01y gwinOn)or(D). sroe wmON Slmtw)13 mac. <br /> y�RnfedRyped SayuaMe MI Day Year <br /> • H ,+ .S �.e�.�'�S ""_ � to <br /> .� 16.L8efialrmal SMpmatm r <br /> ❑mpadmU.S. ❑F�artrymtllY PMaren lent <br /> � T'�'kr agtrehae(mroqorts or+yl' Gale kavrg U.S.: <br /> u 17.Tramp rterA*wA,#n1d of Rec*afMatedals <br /> e Transputer l PMLdffyped Name Sigmaue <br /> o Q15 LIDay Yew <br /> nmWami2 Pmdadfyped Name <br /> Month Day Yea <br /> 18.asmepam.Y <br /> 181 Di p--y Indaadan Spatz ❑ Ovantiy ❑Type ❑R.M. ❑Pawd R*I fi. ❑Ful Rett <br /> 1ARANelrtak Mailed ReMNlco NumbM: <br /> FeoMy(orC>erteramr) U.S.EPA 10 NumMr <br /> i <br /> t <br /> FmW3 Phone: <br /> 18c Slgtlaeae ofABemtale FaArty(rrGerw-Am) <br /> Mmm Day Yrm <br /> I9.Haaado m Waste RaW Mmmgn,tertt Meend codes fie,codes lu tmzrdae amsk hea win &VOS 1,and recyI 50") <br /> 1. 2 i <br /> 4. <br /> 2T.ITeti9mred Fet31y 0latera OpNamr:Catifiatlm Ofmc*t of h?=dms makrok mvemd by the mmdrast 1110 rted 0Item 183 <br /> YPed Name Slgnahae <br /> Mauh Day vea <br /> IForm8700-22(Rev.5.05) Pneumasedwonsare obsolete. DESIGNATED FgCIU VTO DESTINATION STATE(IF REQUIRED) <br />
The URL can be used to link to this page
Your browser does not support the video tag.