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FIELD DOCUMENTS_FILE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545273
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FIELD DOCUMENTS_FILE 2
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Last modified
2/3/2020 11:58:01 AM
Creation date
2/3/2020 11:00:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0545273
PE
3528
FACILITY_ID
FA0000174
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15600
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620079
CURRENT_STATUS
02
SITE_LOCATION
15600 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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04/20/2010 11:35 40843 -'M IWM .INC' `j` PAGE 02/02 <br /> III <br /> IIrtEORATEe WASTESTRPAm MANA MENI'ING. <br /> 1945 CONCOURSE ORNE,SAN JOSE,CA ee131 <br /> PHONE 498.433.1999 FAX:408.433"9521 <br /> CERTIFICATE OF DISPOSAL <br /> Generator Name: Joe's Truck Plaza Facility Name; Jce's Tntck Plaza <br /> Address: 15600 S. Harlan Road Address: 15600 S. IIarlan Road <br /> Lathrop, CA 95330 Lathrop, CA 95330 <br /> Contact: Daiwinder Dhoot Facility Contact: SCott Bittinger,Htratas Environmental <br /> Phone: 209.982.0376 Phone: 530.676.6004 <br /> 1 <br /> iWM Job#: 99099-DS <br /> .Description of Wa&tc: 18 Drlun(s) of <br /> Non-Hazardous <br /> Soil <br /> Removal Date: 3/31/10 <br /> Ticket n: RSVRL31031.0 <br /> Trans orter Information Dis osal Facility Information <br /> Narno. IWM,Inc. Name: Republic Services Vasco Road Landfill <br /> Address: 1945 Concourse Drive Address: 4001 N. Vasco Road <br /> San Jose,CA 95131 Livermore, CA 94550 <br /> Phone: (408)433-1990 Phone: 925 447_0491 <br /> IWM,INC. CEK11FIES THAT THE ABOVE LISTED NON-HAZARDOUS WASTE WILL BE <br /> TREATED AND DISPOSED AT THE DESIGNATED FACILITY IN ACCORDANCE WITH <br /> APPLICABLE FEDERAL,STATE,AND LOCAL REGULA IONS. <br /> Williarn T. DeLon r�"� ? <br /> 3/31/10 <br /> Authorized Representative (Print Name and Signature) Date <br /> CertOfDisposal.blankfield.rsvrluse - Revised:28 1003 <br />
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