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EHD Program Facility Records by Street Name
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VAL DERVIN
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2200 - Hazardous Waste Program
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PR0505919
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COMPLIANCE INFO
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Entry Properties
Last modified
11/6/2024 12:58:01 PM
Creation date
3/20/2019 10:35:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0505919
PE
2220
FACILITY_ID
FA0007083
FACILITY_NAME
B & C PAINTING SOLUTIONS INC
STREET_NUMBER
107
STREET_NAME
VAL DERVIN
STREET_TYPE
PKWY
City
STOCKTON
Zip
95206
APN
19337005
CURRENT_STATUS
01
SITE_LOCATION
107 VAL DERVIN PKWY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0505919_107 VAL DERVIN_.tif
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EHD - Public
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Aease prirg or we, (Farm ned %r use on este (42= ` oln) °ter. <br />rllrtt AWOved. OMB No. 2050-003 <br />UNIFORM H RAOUS <br />2. 1 of <br />3, 11cm: 2413 11 <br />41 Man1 t TrsdtingNumber <br />WASTE MANIFEST CAL000251953 <br />l <br />(8001 326--1011 <br />001361 <br />, <br />b, ratans anal O s s fid, . sM gtan ) <br />8 A C Paintingolutions <br />107 Val Dervin Pkwy <br />Stockton, Ch 95286 <br />Ws 209-9 20422 <br />6. Tran <br />S. EPA ID Nto"Mbbew <br />General Environmental Mgmt Ina.836 <br />80 <br />T, T 2 rnY t <br />U.S. EPA 10 Number <br />Nott Vo <br />U.S. EPA 10 Number <br />, <br />11855 White Rack Aoad <br />Rancho Cordoy , SSit t}742 <br />91b <br />, <br />Fa <br />es Raw <br />CAD9 <br />go, <br />9b. U.S. DOT DesaWan (including Proper Shipping Name, Hazard Class, ID Number, <br />1 i. Tats! <br />RAM <br />11M <br />and Paddng Group (d any)) <br />Type <br />13. Lades <br />X <br />'Waste Corrosive liquid, basic, inorganic, <br />Un.o.s., <br />8, UN3266, III (potassium <br />h)Ld r Lxider amonjuj% hydroxide) <br />0 <br />P <br />141 <br />D002 <br />2C <br />Z <br />Non-RCRA hazardous Waste liquid (PAter <br />Os'20 <br />rAI A <br />331 <br />based int) <br />ra <br />P <br />s. <br />Non-Rhazardous waste solid (sodium <br />3S2 <br />chloride) <br />DF <br />50P <br />4, <br />i . I andA Iinamtatier <br />1) R16184 a 154il# <br />'t178301 <br />2) 86732 s-f s,,t <br />3) 116189 M5 <br />15. G ERATCIR' EROMS CERTIFICATION; I Woo declare tort Ow COMOnts Offt 00330wnerd ase f and ly dftwbw above <br />by ng ems, aril <br />marked and labeledtpiacarded, and are in oll respeds I" PlOWMIKII603 for bansPort actorft to and nallorw governmow reg s. tf oxpoit t go I am #* PAWNY <br />Exporter, Ice* that the contents ofn( mtftm to of the allachad MAdmwiedgmentolconsot <br />I ray gnat gta weals mkiimkaUon fl�rrt kr #O GFR .2T(s} ( t am a 4tx) or (b) (�(am a g trx) Ia krre„„ <br />Uma <br />ba y Yeas <br />LP S <br />ft rr��t <br />t Ia U S. t Jepw taus Port a entrytea <br />7ra"MdersOnalum <br />_ <br />Or emu OW: Date leaving U.S <br />G <br />IT7mOsp A*aM9#w#tdRecW <br />Tra 9 yped Name <br />`` [ <br />Yr <br />Day02 <br />Tra r2 <br />Dap Xaar <br />tU.Dwropocy.mss` <br />180. Discrepancy tnEl Qu ® Type EI Resrdt <br />dt 11 <br />f i P&-441 R*Cti,a l ! Full <br />1&b.Atia. F (Or ) : v <br />`. <br />t <br />UnB. EPA Number <br />u Fa <br />ho <br />q <br />y <br />19. <br />R"M <br />Management Malhod Codes (4e., codes far hawdouswaste hmbmtty <br />Vii. <br />2. <br />3 <br />rfR-M <br />4. <br />• <br />tx i#xn of diWwwby Owas Woo Khm <br />at <br />• ,. <br />EFA Form UO 3 05j tWvlotw OdIfim are obtotete. DESIGNATED FACILITY TO DESTINATI N STATE (IF REQUIRED) <br />
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