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COMPLIANCE INFO_FILE 12
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231945
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COMPLIANCE INFO_FILE 12
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Last modified
11/30/2022 4:43:06 PM
Creation date
6/3/2020 9:55:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
FILE 12
RECORD_ID
PR0231945
PE
2361
FACILITY_ID
FA0003934
FACILITY_NAME
Lawrence Livermore National Lab - Site 300
STREET_NUMBER
15999
Direction
W
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
15999 W CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231945_15999 W CORRAL HOLLOW_FILE 12.tif
Tags
EHD - Public
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RHWM WASTE DISPOSAL REQUISITION CHANGE REQUEST <br />WDR ID W243087 FROM TO <br />CID Q00089316 Container Type Size Container Type Size <br />Originator E. Thomas/ S. Brigdon <br />Date 12-02-04 Chemical Compatibility Code <br />Change Comments: ® Marked -up WDR attached? Pl- El$t�1fKOp�„lEl�ti,EE <br />09-2"1-04 to 09-22-04 The waste diesel was generated on Wednesday, September 22, the same day the <br />diesel tank was cleaned. <br />LWP: STP Status: ❑Added []Updated MWC: 1 Year Letter Initiated? ❑ Yes ❑ No <br />Waste Type <br />Original <br />❑ Non-Haz (N) <br />❑ RCRA Haz (H) <br />❑ CA Haz (C) <br />❑ NTS LLW (L) <br />❑ Low -Level (R) <br />❑ LLW Mixed (F) <br />❑ LLW Combined (S) <br />❑ TRU (T) <br />❑ TRU Mixed (X) <br />Page I of 1 <br />New <br />❑ Non-Haz (N) <br />❑ RCRA Haz (H) <br />❑ CA Haz (C) <br />❑ NTS LLW (L) <br />❑ Low-Level(R) <br />❑ LLW Mixed (F) <br />❑ LLW Combined (S) <br />❑ TRU (T) <br />❑ TRU Mixed (X) <br />Item <br />O/I <br />S/U <br />Waste <br />Form <br />A/D/C <br />Item Description <br />Qty/ <br />Units <br />Chemical <br />Qty/ Units <br />Haz <br />Prop <br />Form <br />Code <br />EPA <br />DTSC <br />Radio- <br />nuclide <br />oty <br />Units <br />Requires <br />Review/A royal Review Name Print Signature <br />Date Co Requested? <br />CC ❑ %a o <br />RCA ❑ <br />Waste Treatment ❑ <br />Shipping ❑ <br />Legacy Waste Program ❑ <br />Mixed Waste Coordinator ❑ <br />Lab Pack Originator ❑ <br />Change Request Updated in database <br />Storage Operations Personnel <br />WGSform 0001 Rev. 6/04 CONTROLLED FORM <br />
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