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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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i I - - 1 0 0 "1 <br />F <br />teaseprint or er t«oon de <br />`ned for use on elite 12 -pitch r Form Approved. OMB No. 2050-0039 <br />UNtFQRM R(f3t' <br />f" 2. t of noY Resxtss 4, a r N <br />WASTE MANIFEST <br />CAM00251953 0025 95 � ��ftt3� ?� �� � k B <br />5= toffs y to sSite {if different Ow trOng aftess) <br />107 VO tsar i ti pk <br />den N),9—UP-0422—UP-0422 <br />B. Tran r 1Narre U.S. EPA ID NumW <br />TT nyN <br />8 F s U,$. EPA 10 Number <br />JIMc. <br />1JIUM;White ftek Po <br />L :z i Q9{ <br />. <br />F Pty: 1? f <br />9b. U.S. DCT Des ( ng Proper Shipping Name; Hazard Class, ID Number, <br />96. Cori <br />rs <br />It <br />coags <br />NAt <br />< <br />and P(p�})) <br />Nd, <br />Type <br />. <br />Wt1%ha. <br />13. a Codes F <br />wont i, . 1( <br />y <br />e <br />k <br />t7 <br />GEM has the appropdatw <br />mitts for, and willaccePt <br />t eaiIs <br />wt this 4pnerato r <br />shipping. <br />e <br />, <br />Tr Rt1°7- Fr,1e5" <br />M GEN15RATOWSMMMICEMMOATM, i hereby declare that the Ountenh of this cons t ery Wand a=awy dewftd above by lbe proper erd arodmdied, <br />, packaged, <br />un iced la ,and are bs ad t hZ opt , fod tiro and at`' Aiat lams. h nta tam Etu P <br />t cortify that of ttus oa matt � of tna EF'A want � . � <br />1 ��jr`tlat the rd ptenGfied � 4tt GFR .27(��,(# f inrF a r� ,} ��D (fit epi a emehrotor} � luso: <br />a Pr t`y'ped>UMN ro y Year <br />Transporter aftalurp {for d rMYk Date lead U.S.: <br />fl. AdotoHfedam�lofReceiptofMat <br />f S e th try Year <br /><'ze12' <br />to wader 2 Name ice, Yet <br />18,Discrepancy <br />tda. 019deparq Indication <br />Residue Parstal F R <br />! sl _ et N <br />156, -- ( ator} U.S. EPA 10 Number <br />Fs PWW <br />1bc. S` hoe rf or Gensfato Day Y <br />% Hazardous Waste Report Management Method Codes (to., codes for hazardous waste treatment, disposal, and recycling systems) <br />F (« <br />2P. est FaMyOwner ciOperaW. Ced f Callon of recut of hazardous materials covered W Via msnhst except as ndw in nrxn 189 <br />P ter mus � <br />a <br />r.. IAr"oifn 8/uu=4c (KOV. "a)' F MV9Xjs a are obsolete. + % 11 1 ,. ,_ I ': � <br />
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