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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1115
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2900 - Site Mitigation Program
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PR0545648
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COMPLIANCE INFO
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Entry Properties
Last modified
5/18/2020 3:55:39 PM
Creation date
5/18/2020 3:46:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0545648
PE
2950
FACILITY_ID
FA0003948
FACILITY_NAME
PG&E TRACY MAINTENANCE STATION
STREET_NUMBER
1115
Direction
N
STREET_NAME
INTERNATIONAL
STREET_TYPE
PKWY
City
TRACY
Zip
95377
APN
209-080-06
CURRENT_STATUS
02
SITE_LOCATION
1115 N INTERNATIONAL PKWY
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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10/15/97 14:15 $510 971 3232 Pr..&E GGT GSTS 003 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> PIQaw•ff.Ior type (Form deslgnad for u39 0.01110(12 pitch)rypewrltar) <br /> NON-HAZARDOUS 1 Gwwratore US EPA ID No. Manliest 2.Pago 1 <br /> _ WASTE MANIFEST CA700303N57 oocumemNd L107.- of I <br /> s Oeneratora Name and Mailing Aodree3 <br /> PACIF,I.L GA.: •S rLFC7%iC CU. SITE; LNE 1107 <br /> F.+j. !ij;z 7_16 PA:1TV,.15(1Y PANS RD. <br /> I 7'Aima. C" 95/76 TRACY, CK <br /> I a.r,eneraWr3 Phur�u( S iso t�1'-3rl�i3 <br /> 5,Tnespomer 1 Cornparry Nante G. UC EPA ID Numbo, - A.State Tranapenera 0 <br /> j / fj• ,j' I.r% ;,('' / ,1 ,�r S.Tranw9rter t Phone <br /> 7.Tran:purtur 2 Company NRn9 tl. US EPA ID Number C.Slale Tlanapoflera ID <br /> I I D.TrnnWoflrn 2 Ptw <br /> 9.Designated Fgdllty Karoo and Sit,Adtlms# 10. UE EPA tD Numbor E State FaclR ys ID <br /> { �Y51991 V,19q _ AUSTiN &'-AD <br /> `�r�NTE.;A, CSA 9533E r-4L990794133 F FtautyaPhone <br /> 2?Q?927-4298 <br /> i 11 WASTE DFCCRIPTIDN 12. COntdIM4 1J, Iw. <br /> Tolal Unll <br /> No Type QUan6ry wuvol. <br /> SOIL 01 Vz <br /> d <br /> G e <br /> E <br /> N <br /> E <br /> R <br /> A <br /> T <br /> 01 I n. <br /> L <br /> A <br /> ` I G.Addluonal Desvtptlona for MnWpl�LatlJ Al ova H.Handling Codes for Waves Listed Abovo <br /> I I _71A ACCUT.!'NGF, YG. 625-1331 <br /> � I <br /> K 15.`Jpwtal Handling Ir mnlCoons and Additional Infonnnvun <br /> I ( <br /> 7 NV.7�F. <br /> T <br /> 16 GENERATOW5 CERTIMATKJN*I hereby cwtlly that the Contents Of It.m ulNpment are fully and-1CCuMWy deeertoed and are In all row=L*•: <br /> .n proper Condition for triurr 1 The materials dowlbed on tN;m4nder i rue nul bubj,90 tO"i'll MMSMOUS W831e legWaDdn3. <br /> ' Dare <br /> PrlrcwcUT�noc!Namc S,g,ltllwe Mpnnt Day rear <br /> T '7.Twn:pOrter 1 Artnowledgrenant 01 ReC"I Of M81e1`1615 Dete <br /> R <br /> A Pnntad7yaed Nsmp Sfc ta[ure y L! "off, �) <br /> PO 1 R Tmer{mrter 2 ACkndwleopemeni Qf Rocemt�VANKId1F Date <br /> R PrultedlTyperf Nnma Signature Month Day YQAr <br /> E <br /> R <br /> 'g.Dlsuepanc7 indtiaWn 8ne�r <br /> F <br /> A <br /> C <br /> 1 20 FO-airy Ownp:or operator.C,g4ficativn of rfteiV n!thr wZn4e m31091111 Cove•ed by tn'z mantteat,eaCept Re mind n i n 19. <br /> L Dana <br /> T PnnleGTyped NRfn9 Signature Month DRY Year <br /> Y 0t=14 Pfln:Qd Uy LBbelma+:r.r,A�1an,rr�Can Labeltnanc L:O..Ch+tag0.IL t�OG (WO)621-6508 ye.rfCD 09 rill calor <br /> Ueaal Sptepwom <br />
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