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2200 - Hazardous Waste Program
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PR0518027
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COMPLIANCE INFO
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Entry Properties
Last modified
6/10/2020 5:20:37 AM
Creation date
6/3/2020 9:13:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0518027
PE
2220
FACILITY_ID
FA0013658
FACILITY_NAME
THE HOME DEPOT STORE #1006
STREET_NUMBER
250
STREET_NAME
COMMERCE
STREET_TYPE
AVE
City
Manteca
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
250 COMMERCE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0518027_250 COMMERCE_.tif
Tags
EHD - Public
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°"°" BILL OF LADING <br /> 535 Getty Court, Suite H <br /> Benicia, CA 94510 <br /> ENVIRONMENTAL SERVICES 87 748-3040 Lading Manifest: 57881-09 <br /> GROUP n <br /> Western Region <br /> DELIVERY DATE JOB 957954 <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> IMM U= 1006 MANAGER ON D Vff <br /> ADDRESS PHONE# <br /> (209)825-9139 <br /> CITY,STATE,ZIP <br /> MANTECA CA 95336 <br /> CARRIER/TRANSPORTER PHONE# <br /> 21st CENTURY (877)748-3W <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> AERO PHONE HONE# <br /> 30677 HUNTWOOD AVE (510)429-1129 <br /> CITY,STATE,ZIP <br /> HAYWAIRD CA 94544 yJ ry <br /> £; 41 <br /> A 'DNIMSAL WASTE LAl#PS" FLUORESCENT LIGHT TUBES (BROKEN <br /> INCIDENTAL) 01 Cr 0 3 P <br /> B LQORESCEAT LIGHT TUBES (WHOL <br /> D <br /> r <br /> 1101=1111 <br /> ® f DFP <br /> t � b^*evte,,.; t U<A--IF 110 N �� <br /> V( <br /> Mnj tff-5Qi AAJ4V>EC duatS`� <br /> Special Handling Instruction and Additional Information: <br /> a) HOKMBBC-13�- FLUORESCENT TUBES (CRUSHED) - REC15 b) HOUTUBE14-83 - 4' FLUORESCENT TUBBS PHOLB) - RBC/6 •c)--- <br /> d 'lull 11111*11111m" <br /> WASTE` - REC24 PROPOSAL#: 24 HOUR ENERGENCT CONTACT: (800) 451-8346 / /x /a <br /> "e,et 4W-sl TY1�9 <br /> Placards Provided YES NO ✓_ "— %l t Emergency Phone#(877)748-3040 <br /> SHIPPER'S CERTIFICATION:i hereby declared that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed, <br /> marked,and labeled,and are in all respects In proper condition for transport by highway,vessel,and rail according to applicable International and national government regulations. <br /> (SHIPPER)PRINT OR TYPESIGNATURE MONTH DAY YEAR <br /> x A1044 Xolllf <br /> x (Sy O ' <br /> (CARRIER/TRANSPORTER)PRINT OR IrYPE NAME SIGNATURE t MONTH DAY YEAR <br /> � <br /> s S.]AYd r <br /> (CONSIGNEEIFACILITY)PRINT OR TYPE NAME SIGNATURE MONTH DAY YEAR <br /> x x <br /> Form#PSC-209-RV 9/07 <br />
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