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SITE HISTORY_FILE 2
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3500 - Local Oversight Program
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PR0541875
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SITE HISTORY_FILE 2
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Last modified
3/16/2020 3:45:43 PM
Creation date
3/16/2020 2:09:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
FileName_PostFix
FILE 2
RECORD_ID
PR0541875
PE
2960
FACILITY_ID
FA0024017
FACILITY_NAME
CHEVRON SITE 306415
STREET_NUMBER
437
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
1392417
CURRENT_STATUS
01
SITE_LOCATION
437 E MINER AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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IWK It . <br /> INTEGRATED WASTESTREAM MANAGEMENT,INC. <br /> 1945 Concourse Drive,San Jose,CA 951311708 <br /> PHONE: 408.433.1990 FAX:408.433-9521 <br /> CERTIFICATE OF DISPOSAL <br /> Generator Name: Chevron Products Company Facility Name: Chevron Station#30-6415 <br /> Address: 6111 Bollinger Canyon Road Address: 437 E Miner Avenue <br /> San Ramon, CA 94583 Stockton, CA <br /> Contact: Stephanie Furgal McKenna Facility Contact: Brett Krehbiel, Arcadis <br /> Phone: 925-543-2349 Phone: 916-985-2079 x14 <br /> IWM Job#: 98911-DW <br /> Description of Waste: 1 Drum(s) of <br /> Non-Hazardous <br /> Water <br /> Removal Date: 12/2/09 <br /> Ticket#: MCK021209-CH <br /> Trans orter Information Dis osal FacilityInformation <br /> Name: IWM, Inc. Name: Chemical Waste Management <br /> Address: 950 Ames Avenue Address: 35251 Old Skyline Road <br /> Milpitas, CA 95035 Kettleman City, CA 93239 <br /> Phone: (408) 942-8940 Phone: 800-222-2964 <br /> IWM, INC. CERTIFIES 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 REGULATIONS. <br /> 2. 47� <br /> William T. DeLon a 12/2/09 <br /> Authorized Representative (Print Name and Signature) Date <br /> CertOfDisposal.Chev.CWM_306415Stockton9891 IDW(SMcKenna).doc Revised:5/4/09 <br />
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