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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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1900 - Hazardous Materials Program
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PR0520805
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/19/2024 3:46:02 PM
Creation date
3/18/2020 10:24:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0520805
PE
1921
FACILITY_ID
FA0006983
FACILITY_NAME
LPS WATER CO/TOWER PARK MARINA
STREET_NUMBER
14900
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242
APN
05503015
CURRENT_STATUS
01
SITE_LOCATION
14900 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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STRAIGHT BILL OF LADING SHORT FORM NOT NEGOTIABLE <br /> CARRIER: NUMARK 888-699-0333 I Shipper No: <br /> Carrier No: Date:7APRIL 2020 <br /> Purchase/Customer Order No: <br /> Received,subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading. The property described below inapparent good order,except as noted <br /> (contents and condition of contents of packages unknown),marked,consigned,and destined as indicated below,which said carrier agrees to carry to its usual place of delivery. If on its route, <br /> otherwise to deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of said route to destination and as to each party at any time <br /> interested in all or any of said property,that every service to be performed hereunder shall be subject to all Bill of Lading terms and conditions in the governing classification on the date of <br /> shipment. Shipper hereby certifies that he is familiar with all the Bill of Lading terms and conditions in the governing classification and the said terms and conditions are hereby <br /> agreed to by the shipper and accepted for himself and his assigns. <br /> FROM: TO: VALUE PRODUCTS, INC. <br /> LPS WATER CO CONSIGNEE 2128 INDUSTRIAL AVE <br /> 14900 W.HIGHWAY 12 STOCKTON, CA 95206 <br /> LODI,CA 95242 ATT: DOUG HALL @ 209-983-4000 <br /> ATT: CHRIS KANIA <br /> Site: <br /> PHONE:805-610-2637 <br /> No. Pkgs. + KIND OF PACKAGE,DESCRIPTION OF ARTICLES *WEIGHT CLASS OR Charges Subject to section 7 of conditions of <br /> HM SPECIAL MARKS AND EXCEPTIONS (SUBJECT TO CORR.) RATE (FOR CARRIER applicable Bill of Lading,if this <br /> USE ONLY) shipment is to be delivered to the <br /> JC 1830 1320 LBS 55 consignee without recourse on the <br /> consignor,the consignor shall sign the <br /> 2 ALUMINUM CHLOROHYDRATE SOL. following statement: <br /> W/POLYMER BLEND <br /> CAS#12042-91-0 <br /> NMF#42830 CLASS 55 The carrier shall not make delivery of <br /> this shipment without payment of <br /> freight and all other lawful charges. <br /> N/A <br /> Signature of the Consignor <br /> If freight charges are to be pre-paid, <br /> write or stamp here"TO BE PREPAID". <br /> N/A <br /> AFFIX SHIPPING LABEL BELOW: NOTE:Where the rate is dependent on <br /> value,shippers are required to state <br /> specifically in writing the agreed on <br /> value of the property: <br /> The agreed on or declared value of the <br /> property is hereby specifically stated by <br /> the shipper to be not exceeding: <br /> N/A <br /> $ per__ unit <br /> For additional information contact: SS741 Reference <br /> BILL FREIGHT TO: <br /> JENFITCH, INC. NIA <br /> Label(s)applied: <br /> 712 BANCROFT ROAD SUITE 805 <br /> WALNUT CREEK,CA 94598 <br /> Placard(s)required: <br /> YES NO <br /> IF THIS BILL OF LADING LISTS HAZARDOUS MATERIALS-NOTE AS FOLLOWS: If delayed in Transit Notify:(800)644-3518 <br /> Emergency Response# 800 644.3518 <br /> This is to certify that the above named materials are properly described, <br /> packaged,marked,and labeled,and are in proper condition for transportation <br /> according to the applicable regulations of the U.S.Department of <br /> Transportation. <br /> Shipper: JENFITCH, INC. The additions on the face hereof and the terms and conditions are hereby noted: <br /> Contract: Carrier: <br /> Per: Per: Date: <br /> Date: <br /> For <br />
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