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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACK TONE
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13475
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3500 - Local Oversight Program
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PR0545314
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 10:29:58 PM
Creation date
2/11/2020 9:42:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545314
PE
3528
FACILITY_ID
FA0005333
FACILITY_NAME
JACKPOT
STREET_NUMBER
13475
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06326004
CURRENT_STATUS
02
SITE_LOCATION
13475 N JACK TONE RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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FORWARD � =NC _ app 5 1992 1 <br /> WASTE CHARACTERIZATION FORM ENVNRO IMEN-r <br /> AL HEA? <br /> RETURN TO FORWARD, INC. <br /> ATTN: Solid Waste Coordinator I <br /> P. O. Box 6336 <br /> Stockton, California 95206 <br /> SECTION A: GENERATOR/TRANSPORTER INFORMATION <br /> i <br /> Waste Generator, Company Name: Time Oil Co. 2737W. Commodore Way. Seattlp. WA 98199 <br /> Contact Person: Anne Duarte_ Phone:.(206) 2$6_44 <br /> Generating Facility: Address: 13475 N- dark Iona Rnad <br /> city:. Lodi , 095240 __ State: CA Zip: 95240 <br /> Transporter, Company Name: <br /> Contact Person: Phone: <br /> Consultant, Company Name: <br /> Contact Person: David Poole Phone: (415) 461-9117 <br /> SECTION B: WASTE STREAM IDENTIFICATION <br /> General Description of waste: <br /> Process generating waste: remedTatlon ,P <br /> SECTION C: PHYSICAL CHARACTERISTICS <br /> Color: br._ Physical State: 1 Solid ❑ Liquid ❑ Slurry. ❑ Paste . ❑ Powder <br /> Free Liquids: ❑ Yes ® No pH: Odor: ❑ Strong R Mild ❑ None <br /> SECTION D: WASTE COMPOSITION (see SECTION E for asbestos) <br /> (include range of concentrations for multiple samples) <br /> Total Petroleum Hydrocarbons: Metals: Total Soluble (Cal. WET) <br /> as gasoline 0.77 - 33 ppm (mg/kg) (mg/1) <br /> as diesel npm Antimony <br /> as motor oil ppm Arsenic <br /> other: ppm Barium <br /> Aromatic Hydrocarbons: Beryllium <br /> BenzeneNp_ ppm Cadmium <br /> Toluene 0,0057 - 0,032 PPm Chrom.total <br /> Xylenes (total) ND-U..U14pm Chrom. VI <br /> Ethylbenzene__ Np ppm Cobalt <br /> Copper <br /> Other Components (list) : Lead 0- 14 _ <br /> ppm Mercury <br /> ppm Manganese <br /> ppm Molybdenum <br /> ppm Nickel <br /> ppm Selenium <br /> ppm Silver <br /> ppm Strontium <br /> ppm Thallium <br /> ppm Vanadium <br /> ppm Zinc <br /> ppm Others(list) <br /> Ppm <br /> ppm <br /> ppm <br /> Ppm <br /> ppm <br /> (attach or submit additional sheets if necessary) <br /> a ' <br />
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