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COMPLIANCE INFO_2019
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0513837
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
6/18/2020 2:30:14 PM
Creation date
6/18/2020 2:12:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0513837
PE
2220
FACILITY_ID
FA0009439
FACILITY_NAME
CEMEX CONST MATERIALS PACIFIC LLC
STREET_NUMBER
889
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19332017
CURRENT_STATUS
01
SITE_LOCATION
889 E ROTH RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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889 E Roth Rd, French Camp Record ID PR0513837 <br /> 7/18/2019 Hazardous Waste <br /> Photo 1: On 1/3/2018, 300 pounds of diesel debris was transported on manifest number 018237874JJK. According to Steve Holland, Area manager, a <br /> release had occurred at a construction site and the waste was brought back to the facility without a valid transporter license. <br /> .:r?3 874 lS <br /> u <br /> f .e•s. w..e e�e,e.In w.a.. 1a cow.er'x <br /> rl ear la wlr a vwotars. <br /> w.a.>..orT'sw..nwu w.w iwri'r"^. awM Mn Nor <br /> F <br /> pl f�xr�Cnx bd A[IrD6wW'InrIXma�r 'N.r14 <br /> s q♦,,rFRATCW.&+OF FROR-S CERTIF,CAMR:I hereby dedare that the conlanls oNhis W Ignmenl ere fully antl acwrelaty tleaulbeb shore by iha➢roPer shlpplrra name.aM oro dnui6ea.gfokeged, <br /> tea,astl.eeeB+dFvacametl.ede a,¢it a rt resp¢ mpaiper cand2on for Nanspon acwrding ro applicable inlemaWnsland national B�mmern$'regW.Wos.11 export ahlP-1 urG t em Bn PMntry <br /> p,yyb.r orery llMir rx mrrkars of rninwrit <br /> s wnsgnment cantoim m me+erms cf ftrem aalarge quantity 9Oed e^sdgm0t Of rarer or bl fill am a small quanley generelafl is 1-6. <br /> ,..,..6..the azfyta m,emi W srace+rrenl wentlaetl in 4n CFR 262.27(3)(i a Mgndr pay Year <br /> abrm0ftVYs PnrOd'Ty*Mane SignaNre <br /> 16 YtarnlOuM 4rP'ots [T",N U S. ❑Export 6nm U.S. PoA of entryferlt.la- <br /> Z TraraDd�x (�� owl, bale 3eaving 11.5 <br /> IX f:T+aamrkT�jof ReceiplofMeleriels Mann Day Year <br /> pa Tran," r I Pnlrkd,ryped Mame Signature <br /> a Month pay Yaar <br /> . Trimpo<fer2 PmkNrl'pad Hama Signature _- <br /> F I <br /> 18 DRjoanry I <br /> •. r(r1} Teta Dwepxrcy Mndicalion Space Quanliry Type ❑Residue ❑Penial Rejection L�FJ Rejecliun <br /> f Manliest Ref.—Numbot', <br /> ' 18b.AItw*te Fac&y(orGenerj1or) ILS,EPA D Number I1 <br /> V I <br /> Cu FaWVsPhvne' Monty bay Year <br /> r6s,Signaalre pfAltemeta Fadlily Cor GeneralorJ L <br /> -- 4 <br /> F'•r Z <br /> 19 Hazardous Waste Report Management Melhod Codes{i.e.,codes for hazardous waste Irealmant,disposal,and recycling systems <br /> 3. 4, <br /> X Desi naled Facilo owner of Operator.GertiSsedon of reoefpt of hazardous msledals oavered by the manliest except as nded in Item 188 <br /> rin yped Name Signature Month Day y1al .� <br /> EN Form 8700-22(Rev 3.05)Previous edidurls are ohselele. GENERATOR'S INITIAL COPY <br /> John Alaniz, REHS Page 1 of 2 <br />
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