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SITE INFORMATION AND CORRESPONDENCE (2)
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0541936
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SITE INFORMATION AND CORRESPONDENCE (2)
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Last modified
5/18/2020 11:15:09 AM
Creation date
5/18/2020 10:55:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0541936
PE
2957
FACILITY_ID
FA0006149
FACILITY_NAME
RANCH MARKET
STREET_NUMBER
23569
Direction
S
STREET_NAME
SANTA FE
STREET_TYPE
RD
City
RIVERBANK
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
23569 S SANTA FE RD
QC Status
Approved
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EHD - Public
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Fq =49sm <br /> INTEGRATED WASTESTREAM MANAGEMENT,INC. <br /> 950 AMES AVENUE,MILPITAS,CA 95035 <br /> PHONE: 408.942.8955 FAX: 408.942.1499 <br /> CERTIFICATE OF DISPOSAL <br /> Generator Name: Ranch Market Facility Name: Same <br /> Address: 23569 S. Santa Fe Road Address: <br /> Riverbank, CA 95367 <br /> Contact. Mohamed Gubary Facility Contact: Dan Schreiner <br /> Phone: Phone: 916-861-0400 <br /> 91004-DW <br /> IWM Job#: <br /> 12 Drums of <br /> Description of Waste: <br /> Non-Hazardous Water <br /> 10/5/00 <br /> Removal Date: <br /> SP05 1000-Mise <br /> Ticket#: <br /> Transporter Information Disposal Facility Information <br /> Name: IWM, Inc. Name: Seaport Environmental <br /> Address: 950 Ames Avenue Address: 675 Seaport Blvd <br /> Milpitas, CA 95035 Redwood City CA 94063 <br /> Phone: (408) 942-8955 Phone: (650) 364-1024 <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 /> William T. Delon 5 October 2000 <br /> Authorized Representative (Print Name and Signature) Date <br /> Cert0IDisnosal.Master.010600 Revised: I June 2000 <br />
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