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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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STOCKTON
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835
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2200 - Hazardous Waste Program
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PR0220087
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COMPLIANCE INFO
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Entry Properties
Last modified
6/10/2020 6:42:11 AM
Creation date
6/3/2020 9:23:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0220087
PE
2248
FACILITY_ID
FA0000541
FACILITY_NAME
PACIFIC COAST PRODUCERS*
STREET_NUMBER
835
Direction
S
STREET_NAME
STOCKTON
STREET_TYPE
ST
City
LODI
Zip
95240
APN
N/A
CURRENT_STATUS
02
SITE_LOCATION
835 S STOCKTON ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2248_PR0220087_835 S STOCKTON_.tif
Tags
EHD - Public
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I 15. Special Handling Instructions and Additional information <br />18. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are <br />„,classified, packed, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable intemational and national <br />1 govemment regulations and Arkansas state regulations. <br />•ff I am a large quantity generator, I certify that 1 have a program in place to reduce the volumn and toidclty of waste generated to the degree I have determined to be <br />economically practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and <br />future threat to human health and the environment; OR, if I am a small quantity generator, l have made a good faith effort to minimize my waste generation and select <br />the best waste management method that is available to me and that I can afford: <br />Printed/Typed Name Signature &jjMongO9 <br />Day <br />BEN S N E E D 03 <br />T 17. Trans wtedgement of Receipt of Materials J& <br />�,p q <br />a <br />P <br />O 18. Tin6sporter 2 Acknowledgem nt of Receipt of Materials <br />R <br />T Printed/Typed Name <br />E 3lgnature Month lay Year <br />R <br />19. Discrepancy indication Space <br />F <br />A <br />r C _ <br />I .. <br />L <br />T 20. Facility Owner or Operator. Ioati n of receipt of hazardx mat s covered by this manifest except,* noted in Item 19. <br />y J inted/Typed Name Signature E <br />Day(esr <br />C d ` d b� 7 <br />EPA Form 8700-22 (Rev. 9-88) Previous edition is obsolete. <br />NOTICE: THE ORIGINAL AND NOT LESS THAN TWO (2) COPIES MUST MOVE WITH THE HAZARDOUS WASTE SHIPMENT. ONCE DELIVERED, THE TREAT- <br />MENT/STORAGE/DISPOSAL FACILITY MUST RETURN THIS ORIGINAL COPY TO THE GENERATOR. <br />
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