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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 (877) 748-3040 Lading Mani fest: 74904-09 <br /> GROL <br /> Wcstern Region <br /> DELIVERY DATE JOB 4970872 <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> MANAGM ON DUTY <br /> ADDRESS PHONE# <br /> 750 (2N)825-9139 <br /> CITY,STATE,ZIP <br /> CARRIER/TRANSPORTER PHONE# <br /> (877)748-3040 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> ADDRESS PHONE# <br /> 30677 E&H[W= (510)429-1129 <br /> CITY,STATE,ZIP <br /> CA 4544 <br /> l,1 <br /> 10M <br /> A 'UNIVERSAL LISTS' (CRUSHED FLOORBSCENT LIGHT TUBBS) 111111011011 <br /> INCIDENTAL 003 c` 0 1 c® P <br /> B y 1 <br /> 284i , N0N-SFY11 r <br /> D <br /> ( P <br /> Special Handling Instruction and Additional Information: <br /> a} � - CIDSHED FLUORESCENT LIGHT TUBES - RBC15 b} <br /> �BBATT-i4 - LEAD ACID BATF OTI <br /> BA 5A1 NASTB} - RBC24'1EC4I PIOFOSAII: 24 H0U1 ENEIGENCY CONTACT: {Sii} 451-8346 <br /> Placards Provided YES NO �)t I p f's b 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 accordin to applicable international and national government regulations. <br /> (SHIPP R)PRINT OR TYP NAME SIG TU MONTH gqDAY YE.ngn <br /> 1 X 21 0 t <br /> X <br /> (CARRIERITRANSPORTER)P INT OR TYPE NAME S A R MONTH DAY YM <br /> X r1 A xCNib G�1 Q 2 9 <br /> (GONSIGNEE/FACILiTY)PRINT OR TYPE NAME SIGNATURE MONrH oAY veAn <br /> X X <br /> Form#PSC-209-RV 9/07 <br />
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