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ARCHIVED REPORTS XR0009677
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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3430
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3500 - Local Oversight Program
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PR0544710
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ARCHIVED REPORTS XR0009677
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Entry Properties
Last modified
7/30/2019 1:37:16 PM
Creation date
7/30/2019 11:58:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009677
RECORD_ID
PR0544710
PE
3528
FACILITY_ID
FA0006247
FACILITY_NAME
Western Lift
STREET_NUMBER
3430
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17525063
CURRENT_STATUS
02
SITE_LOCATION
3430 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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dste No. -1798088 <br /> Systems TM <br /> .AOANG-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> C. Bank of Stockton �I�starr Lift <br /> Generator Name Generating Location <br /> �GX 11 �'� -430 C. El DoradoAddress Address <br /> := .. S <br /> tOCFCtOrI , CS C!5 21C9 t'itkZwr, , rc`_ . <br /> Phone No. Phone No. <br /> F <br /> t BFI Waste Code Containers Type <br /> Description of Waste Quantity Units No. Type D- Drum <br /> aS �' L?ie_�el Cor,tarnlnated ?.c C-Carton <br /> r m B - Bag <br /> ❑ m ❑[IT <br /> T -Truck <br /> P - Pounds <br /> Y-Yards <br /> :. <br /> ❑ m El 0 <br /> - Other <br /> -.1 1 hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable <br /> state law, is not a hazardous waste as defined by 40,CFR Part 281 or any applicable state law, has been property described, <br /> Classified and packaged, and is in proper condition for trjnsportatio according to applicable regulations. <br /> fiors:ld !! _ Rinehart C � <br /> Generator Authodxed Agent Name signature <br /> Shipment Date <br /> TRANSPORTER <br /> Truck No. 7 e,z <br /> Phone No. <br /> M P Environmental Services <br /> Transporter Name Driver Name (Print) r1 L f� KF k <br /> 3A00 Manor Street <br /> Address Vehicle License No./State <br /> Bakersfield , Cs . 93308 �l <br /> Vehicle Certification Da 3& l <br /> it hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> al the generator 'to listed above, out inci nt to the destination listed below. <br /> Driver Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> i <br /> Vasco Road Sanitary Landfill 5 1 4 <br /> Site Name Phone No. <br /> Address 4001 Vasco Road , Livermore,. us . 94550 <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the f oing is true and accurate. <br /> Authorized Agent <br /> Signature --/ Racer t Datd <br /> NV�IjNj��VMLNtAL HEALTH PASS CODE <br /> nee rtlt�T9 rS IC SF1260-720 <br /> TRANSPORTER RETAIN <br />
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