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ARCHIVED REPORTS_XR0008249
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WEBER
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1149
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2900 - Site Mitigation Program
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PR0545005
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ARCHIVED REPORTS_XR0008249
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Entry Properties
Last modified
12/3/2019 2:49:19 PM
Creation date
12/3/2019 2:41:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008249
RECORD_ID
PR0545005
PE
3528
FACILITY_ID
FA0025603
FACILITY_NAME
SAN JOAQUIN BEVERAGE
STREET_NUMBER
1149
Direction
W
STREET_NAME
WEBER
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
1149 W WEBER ST
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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ante No 798035 <br /> ; = . Systems TM <br /> ZiN,+ .aING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> EST <br /> , 0 <br /> Generator Name Scnk Cf Stcck[or <br /> ame Ralal.a I,;st-, by-tI-c <br /> Generating Location <br /> Address Sc'< 7 1 1 0 1 14 9 W_ Wa t_r <br /> Address <br /> Stockton , CM 9520e <br /> Phone No =_ <br /> — 9 F I , ' 1- r, <br /> Phone No <br /> BFI Waste Code [E a 4 0 F C ^ - <br /> � E= Cantafners Type <br /> Desai tion of Waste Ouantlt Units No Type D- Drum <br /> D sae' Cwrtamj�,ztsd ^G; l ❑ m C-Carton <br /> B - Bag <br /> ❑ T - Truck <br /> P -Pounds <br /> Y-Yards <br /> - ❑ E] O-Other <br /> material hereby certify that the above named mateal does not contain free Nquid 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 cIndition f transport ton ac rding to applicable regulations <br /> Ronald Y _ Rinehert i-v <br /> Generator Authorized Agent Name E== <br /> Signature Shipment Date <br />' Truck No 4 <br /> Phone No OS- 39'3 <br /> ,Transporter Name M R Exit ironmf, -ental Serca <br /> � Driver Name (Print) �- lA A L k r <br />' Address 3400 Manor Street n <br /> Vehicle License No/State �`i �r�r C ]L, r <br /> Bakersfield , Ca - 9330' <br /> Vehicle Certification O ,3 +] <br />' hereby certify that the above named material was picked up I hereby certify that the above named material was <br /> t the generator site listed above out incident to the destination listed below delivered with- <br /> it <br /> Driver Signature Shipment Da a Driver Signature oKQDy <br /> It lorn <br /> Site Name Vasco Road Sanitary Landfill ^^ = 7 J <br /> Phone NoJ— <br />� Address 4001 Vasco Road, t-i�.err,ore , Cz 945E0 <br /> 1 hereby certify that the above named matenal has been accepted and to the best of my knowledge the-# eal�going is true and accurate <br /> f Authorized A ent <br /> CS+ nature R,cel t Date <br /> 1 <br /> PASS COQ <br /> saes ✓ E <br /> BF12so 720 <br /> _--_ _ -— -----�--- y —_ --— --_TRANSPORTER RETAIN <br />
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