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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HOLMAN
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6441
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2200 - Hazardous Waste Program
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PR0514322
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
6/25/2020 4:45:20 PM
Creation date
6/25/2020 10:49:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0514322
PE
2229
FACILITY_ID
FA0010424
FACILITY_NAME
CHASE CHEVROLET
STREET_NUMBER
6441
STREET_NAME
HOLMAN
STREET_TYPE
RD
City
STOCKTON
Zip
95212
CURRENT_STATUS
01
SITE_LOCATION
6441 HOLMAN RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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SSL SK SHIP# eeimeg& R �, 111111MIN111Imilli <br /> Please print or type.(Form designed for use on elite(12-pft)typewriter.) d 5 4 4 7 8 5 5 S K S <br /> 1.Generator ID Nwber Sap!trd <br /> Fort ApprDved.OM$No.205MM9 <br /> UNIF STE MANIFESTS CALOW117545 2'Papet d 3E4.manila"Truwg Rurmw <br /> wAST>r INANI�sr 1SKS <br /> 5.Generator s Name end Mailing Addreai 05947855 Gerwatm>ra5b Addmeas(d than mailing address} <br /> Chasse Chevrolet <br /> 6441 Holman Rd <br /> STOCKTON CA 95212_2703 <br /> Generators Phase: 209-475-6630 <br /> li.T���rne SYSTEMS INC U.S.l h ID Number <br /> EN TxR000081205 <br /> 7.Transpolar 2 Coml a Maw, U.S.mo Nrmber <br /> CLEAN HARBORS ENVI3ONMENTAL SERVICES INC MAD039322250 <br /> a.Deslgrmarnd Fadiry Raine and S to Addteas CLEAN HNWRS SAN JCW U.S.EPA ID Number <br /> 1021 BERRYESSA (LOAD <br /> SAN JOSE " CA 95133 <br /> Fes Phone: 408-441-0962 CAD059494310 <br /> ga. gb.U.S.OOT Oacaipnon(itthding PmW ShIlOV Name,Hamid Class.ID Number. m.Comakrerc 11.Tata" 9z urW <br /> NM PigG+WP(II+utY)r No flues nrtnfbt 13 Waste Codas <br /> MWµ 4 C �RRD�AW RRAGS), *{qDOUS 'n, S(7LIDS DM " �� P 352 <br /> ►r `'� <br /> 7- 2, <br /> ca <br /> 3. <br /> 4- <br /> 14.Spatia[Handlimg Mmstnrttiorms andAddrbanal fnfonnatlen TSD.SJ 748207M CH48400 <br /> 1 C56f; <br /> 2r4 NR EMERSENCY #I-BW-4613-176@ (SIC / TFI) 1aga <br /> 15. GMERATOR'8 WFffl=S CERTIF1CATM: I lleroby declare tlYt the ranlarfs d"link R <br /> marked and bbeledplamMed,end are in all mwecb in prow wrKftn for ���soarra�daaatbed atrore by the prrltreralxppitmD name and ere dasaTed,peclmged, � <br /> Fgoiw,I W*that the canards of this iahe ad dwd RA b lent oamonalard rretionel gorerrrnaatal regubtlprx if a�or(shiprnnd end I em the Ftknary ; <br /> I amrlAy drat the waste '' oauigmrem tmadmxm b thet�rms dthe e"ladmed iYAArlanwledgmem a(Carsamt <br /> �e�0�at� amlernard klen516d in 4a GFR 21i'227(a){RI am a kuge quensey generalory m{b){dlam a smolt gmarNly germorator}is 1ruQ <br /> Y77z,"ameS�"a ` Llanth Day Year <br /> r 6� <br /> IAZA19 <br /> 1oil) 3 7 ; <br /> ❑Ynport b U.S. ❑e pw from us. Pbn of eneyle* r <br /> x Transporter-g-we or spurts Dory}: "late brAng Us.: <br /> 17.TransporlerA*cWadgmanl d%o*of MaWgh <br /> cr 7 1 Prim Name Suture <br /> z 1 <br /> Typmwm <br /> Name <br /> Manch Day Year <br /> '8 l}isaeperxy <br /> 'Ba Dimxzepancy krdiretkn Space ❑ ❑TV. ❑fieaimLe ❑PaNal Rale xl ❑Fug Rejection <br /> VW.Akwnate F8d*(or Genarabr} Muftaf Rebrence Numbw. <br /> J <br /> U.S.EPAIO Number <br /> V <br /> u FKWt Phone: <br /> Im t&Slpnatwe D(Afiernote Fadey(mr Ganema ori Abrmdr Day Year <br /> z <br /> W19 Hazardous Waste Report Management Nelhod Codes M.Doles for hamrrbus xeab traaonmmt dgposri,and rayrfYrg systerrma} <br /> G 1 � 12. <br /> 3. 4. <br /> 2D Sesgaased Fadk Owneror operator,CeMkIbe of fea"pf hamrdous maW2k amrod by the manifestcc* in nom 18a <br /> PnnwT.Sa 0 <br /> r � <br /> EPA rr 1 v Bee edilbns are obsolete. DMGN,4 O FACILITY TO DES ATMI STATE(lF REW181EM) ' <br />
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