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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 /> ENVIRONMENTAL SERVICES SBnicia, CA 94510 <br /> GROUP (877) 748-3040 Ladd Manifest: 57960-09 <br /> Western Region <br /> DELIVERY DATE JOB 057954 <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> HOME DEWY #HD1006 MANAGER ON DUTY <br /> ADDRESS PHONE# <br /> 250 COMMERCE AVE (209)825-9139 <br /> CITY,STATE,ZIP <br /> MANNA CA 95336 <br /> CARRIER/TRANSPORTER PHONE# <br /> 21st CENTURY ERMONMENTAL (877)748-3040 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> AERC <br /> ADDRESS PHONE# <br /> 30677 HUNx'fr+T00D AVE (510)429-1129 <br /> CITY,STATE,ZIP <br /> HAYNM CA 94544 <br /> tv9 7A'i <br /> 4 <br /> MIMI.- g <br /> A U13177 MMONWALLY MIAIDOUB SUBSTANCES, SOLID, X.O.S. JLIGBT ? <br /> BULB, MERCURY, UNIV2ISAL WASTE) 9 PGIII 216(171) P <br /> s <br /> C <br /> D <br /> Special Handling instruction and Additional Information: <br /> a) HONKCRCFL-01 - COMPACT FLUORESCENT BULBS, MERCURY, UNIVERSAL WASTE - RICH <br /> Placards Provided YES NO 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 ere classified,packed, <br /> marked,and labeled,and are in all respects in proper condition for transport by highway,vessel,and rail a g to applicable international and national government regulations, <br /> (SHIPPER)PRINT OR TYPE NAME SIGNATURE MONTH DAY YEAR <br /> x x <br /> (CA IER/TRANSPORTER)PRINT_ORR T�YP-E NAME / SIGNATURE M&M DAY YEAR <br /> exl 0? <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE MONTH DAY YEAR <br /> x x <br /> Form#PSC-209-RV 9/07 <br />
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