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COMPLIANCE INFO PRE 2019
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0518421
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COMPLIANCE INFO PRE 2019
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Last modified
6/5/2019 4:25:56 PM
Creation date
6/5/2019 4:08:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0518421
PE
2220
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
01
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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IWM, I vu/. <br /> L-- <br /> INTEGRATED WASTESTREAM MANAGEMENT.INC <br /> - <br /> 950 AMES AVENUE.MILPITAS.CA 95035 <br /> PHONE: 408.9/2.8955 FAX: 408.942.7499 <br /> CERTIFICATE OF DISPOSAL <br /> (wrieratorNamc facility Name: I ISA ii8i <br /> I SA Gasoline Corporation <br /> Address: ._301(11 .Agoura Court. Suite 700 Address: 7705 Count_n Club BlNd.- <br /> Agoura Hills. CA 913014311 Stockton. C 1— — <br /> contact: Chuck_ Miller Facilil\ t'ontactt Sand} Iid%\ards. (ISA Gasoline <br /> Phone: 818-865 9200 Phone ii9-585-8156 <br /> - <br /> 94138-DW <br /> IWM Job P: <br /> I Drum(s) of' <br /> Description or Waste: _ <br /> Non-Hazardous <br /> Water <br /> I 1 June 3004 <br /> Removal Date: <br /> SP 1 10604-MISC <br /> ricket !,: <br /> Transporter Intormation �� LDisposal Facility Information <br /> Name: IWM. Inc Name: Seaport RetininL K Fnmironmental <br /> Address: Gill Amcs Accnue Address: 675 Scaporl 111W <br /> Milpitas. C:1 950)i Redwood ('itv. CA 9406'-- ---- - <br /> Phone: 14081 947-8955 Phone: 650-364-6158 <br /> IWM, INC. CERTIFIES THAT THE ABOVE LISTED NON-HAZARDOUS N'ASTE WILL BE <br /> TREATED AND DISPOSED AT THE DESIGNATED FACILITY IN ACCORDANCE WITH <br /> APPLICABLE FEDERAL, STATE, AND LOCAL REGULATIONS. <br /> William "h. De Lon 6,1 1/04 <br /> Authorized Representative (Print Name and Signature) Dale <br /> ( ertlln)ispusaI S,hj,tc .11nlh181 Ri�rcdr I IUnC'_1X111 <br />
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