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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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f <br /> 535 Getty Court, Suite H BILL OF LADING <br /> ENVIRONMENTAL SERVICES Benicia, CA 94510 <br /> GROUP (877) 748-3040 Lading Manifest: 269795-10 <br /> Western Region <br /> DELIVERY DATE JOB#11.46980 <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> HOME DEPOT #HD1006 MANA(M ON EK?ITT <br /> ADDRESS PHONE# <br /> 250 CZMMErCE AVE (2091825-9139 <br /> CITY,STATE,ZIP <br /> MANTI±7CA CA 95336 <br /> CARRIER/TRANSPORTER PHONE# <br /> 21st <br /> CONSIGNEE/FACILITY POINT OF ONTACT <br /> ADDRESS PHONE# <br /> 77 HUENM ME (510 429-1129 <br /> CITY,STATE,ZIP <br /> A HAn WES, DRY, SEALED, N-O.S. (ALKALINE BATTERIES) UNIVERSAL <br /> WRSTE BATTERIES <br /> B <br /> BATTERIES, DRY, siALRD, N.0.8. (NICKEL cAmin BA IES) <br /> UNIVERSAL WASTE BATTERIES 00 t a® Q p <br /> i C <br /> U12 AST TILLED <br /> ERG } <br /> ® LITHIUM BATTERY UNIVERSAL WASTE BATTERIES r1 <br /> oo QQD f <br /> Special Handling Instruction and Additional Information: <br /> a) HOMEHATT-15 - ALKALINE BATTERIES (UNIVERSAL WASTE) - REC24 BC41 b) HOWCBUTT-15 - NICKEL CADNIUN BATTERIES <br /> (UNIVERSAL WASTE) - REC11 } <br /> HONELIBATT-14 - LITHIUN BATTERIES (UNIVERSAL WASTE) - REC19 <br /> Placards Provided YES NO--'-!/ ~ 1 !� Emergency Phone#(877) 745-3040 <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)PHqINj OR TYPE MESIGNATURE <br /> � MONni DAV YEARxv ,iltyle- <br /> / x o G 63 to <br /> (CARRIER/TRANSPORTER)PRINT OR TYPE NAME SIGNATURE MONTH DAY YEAR <br /> x /rt 14 fLE N aL .S t Nx lU / 03 to <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE <br /> MONTH DAY YEAR <br /> x x <br /> Form#PSC-208-RV 13/07 <br /> I+Itivainue:r <br />
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