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SITE INFORMATION AND CORRESPONDENCE_FILE 2
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545252
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
1/31/2020 11:47:31 AM
Creation date
1/31/2020 11:15:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545252
PE
3528
FACILITY_ID
FA0002232
FACILITY_NAME
QUIK STOP MARKET #3132*
STREET_NUMBER
3555
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
071-180-20
CURRENT_STATUS
02
SITE_LOCATION
3555 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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i <br /> CERTIFICATE OF DISPOSAL <br />� I <br /> i <br /> i <br /> September 25,2012 <br /> QUIK STOP MARKETS INC, #132 <br /> 3555 W HAMMER LANE <br /> STOCKTON, CA 95219 <br /> i <br /> This is to certify that waste as defined on Waste Manifest number 821124129001/821124129001 was received <br /> by U.S. Ecology; Inc., on 09/1112012.The waste(s) were subsequently treated, if required by 40 CFR Part 268 <br /> and U.S. Ecology's permits and disposed of by 09/11/2012 in accordance with permits and laws regulating <br /> this facility. <br /> f <br /> Reference Number: 12091107252-821124129001-1-1 <br /> Material: 18 55 GALLON DRUM <br /> Process: Direct Landfill <br /> Management Code: H132 Landfill or surface impoundment that will be closed as landfill <br /> Facility: U.S. ECOLOGY NEVADA, INC. <br /> HWY 95 11 MILES S. OF BEATTY <br /> BEATTY, NV 89003 <br /> EPA ID: NVT330010000 <br /> Waste Type: NON HAZARDOUS WASTE <br /> Customer: DILLARD ENVIRONMENTAL SERVICES <br /> Printed Name: SCOTT WISNIEWSKI <br /> r <br /> Signature: <br /> Title: ENV HEALTH & SAFETY MANAGER <br /> k <br /> E <br />
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