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2900 - Site Mitigation Program
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PR0001228
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Entry Properties
Last modified
3/31/2020 3:58:11 PM
Creation date
3/31/2020 3:49:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0001228
PE
2951
FACILITY_ID
FA0004069
FACILITY_NAME
BREUNERS
STREET_NUMBER
7676
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
08102013
CURRENT_STATUS
02
SITE_LOCATION
7676 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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s +Waste Ne. 351505 <br /> Systems — �' <br /> lowrfltMt�FERFUSI DUSTMES NON-HAZARDOUS SPELLWASTEMANIFEST <br /> GENERATOR <br /> rnerator Name IJ�} S ��d/�j� ._ Generating Location ,~ <br /> kJresrl f Y6' Addrvsa <br /> ions No. Lr 7 9 Phone No. <br /> 'I Waste Code 1 � _ V b. 13 1/ V 144- 14� Guntalnars Type <br /> Deacriptlon of Waale Quantity V11119 No. Type D-Drum <br /> ❑ ® G-Carton <br /> _ mT •Truck, <br /> L I # .Yards <br /> LiL,.. C•�nsr <br /> I horoby codify that tho above named malortal door not contain frac liquid as defined by 40 CFR Part 980.10 or any applicable <br /> Vale law, Is not a hazardous waste as defined by 40 CFR Part 251 or any applicable state taw, has been property 4ee00e0, <br /> claaaified and Packaged, and is in proper condition for tranaportation according to applicable regulations. <br /> nermw Aurnnonrea Rgern none b,gnenm i- a!l�n..wa Onw <br /> TRANSPORTER <br /> uck No. fC�) Phone No� <br /> ansponer Name . .I�-_U� 1li [hirer Name(Pdntdr <br /> Vehicle uoshi*Nodstal <br /> Vehicle Cerdficatlon <br /> tereby certify that the above named material was pivked up I hereby certify that the,above named material was delivered wlth- <br /> the 9onorwor site listed above out incident to tire_destination listed boknv. <br /> hw <br /> CrW.f Get rY Gate <br /> pwpnwn Des <br /> svftopp- <br /> DESTINATION <br /> ii--I�-fI—71 <br /> rte Name Phone No. l_LJ�i <br /> ddress _ <br /> t . . <br /> and au:urate. <br /> I7ereDy Certify that fire alru+,e Warned material hats boon sccaptod and.to the �f my kr1D1N�0e th8 tOr9p01A$i�tN <br /> ams of AurhorliedA ert� t IyIY4 <br /> s <br /> ! PASS CODE <br /> 1iM250-M <br /> Dttib . <br /> TRANSPORTER RETAIN <br /> b©d 'ON Errol-id WONA <br />
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