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CO0001492
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TILLIE LEWIS
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2500 – Emergency Response Program
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CO0001492
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Last modified
1/19/2021 10:01:15 AM
Creation date
2/12/2019 12:56:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0001492
PE
2546
FACILITY_ID
FA0005401
FACILITY_NAME
LAIDLAW
STREET_NUMBER
1444
STREET_NAME
TILLIE LEWIS
STREET_TYPE
RD
City
STOCKTON
Zip
95206
ENTERED_DATE
2/28/1994 12:00:00 AM
SITE_LOCATION
1444 TILLIE LEWIS RD
RECEIVED_DATE
2/28/1994 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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ADMIN
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FilePath
\MIGRATIONS\T\TILLIE LEWIS\1444\CO0001492.PDF
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EHD - Public
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s,.::+ .wc 6vw+v...w�.r-�wr'�jj•�9?"r.'qT�u�.�..;-_�,�n:.-�-...�."i�' <br /> a <br /> PICK-UP RECEIPTPETROLEUM RECYCLING CORPORATION <br /> EPA a CAD 33 02989 P.O.No. <br /> 19331 N.Hwy 33 <br /> � <br /> DATE �7 —/0 — �j'`� RELEASE <br /> (BOO)882-9870 <br /> PRC TRUCK NO. Z 3MANIFEST <br /> NO. 93197119 <br /> CONSIGNEEORIGIN BILL TO <br /> PETROLEUX RECYCLING CORP. LAT IAif CORP. Zsu RESNA <br /> 13331 NORTH HIGHWAY 33 1444 TILLIE LRHIS LAMB ATTNs ACCOUNTS PATASLE <br /> PATTERSON, CA. 95363 STOCiTON, CA. 95206 42501 ALLRAE ST. <br /> PRZMNT, CA. 94538 <br /> GROSS GALLONS RECEIVED PRODUCT DESCRIPTION PRODUCT CODE <br /> APPROXIMTE GLS. //d(J ION RCRA HAZARDOUS HASTE LIQUIl 223 <br /> (OIL, HATER) - <br /> ARRIVE START FINISH, ARRIVE START FINISH ELAPSED TILIE <br /> Q S oO O S J D 0 SWt • START FINISH TOTAL <br /> REASON FOR DELAY IN LOADING • REASON FOR DELAY IN UNLOADING - <br /> C.• D. <br /> DRIVER'S SIGNATURE: PATE TOTAL , . <br /> - Cost P/Gal: - <br /> SUPPLIER'S SIGNATURE L` <br /> /-, SOWS P1Gal: <br /> z _ <br /> REMARKS. z ; <br /> _--- Transportation: °—�.-- <br /> 24 HOUTE10:Rf ZNCZ COKTACZ* 1-800-874-44/44 <br /> ` <br /> 24 HOUR EXERLOrtiCY RKSPOM: CHER TEL INC. 1-800-255-3924 Lab Fee: <br /> APPROPRIATE PROTECTIVE CLOTHING & RESPIRATOR wash Out <br /> TOTAL <br /> Distribution: white Green Can ry Fink GoldrAotl <br />
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