My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2019
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
Y
>
YOSEMITE
>
1097
>
2200 - Hazardous Waste Program
>
PR0518745
>
COMPLIANCE INFO_2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/5/2021 11:21:53 AM
Creation date
6/30/2020 1:49:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0518745
PE
2220
FACILITY_ID
FA0000279
FACILITY_NAME
ESCALON MINI MART
STREET_NUMBER
1097
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22510001
CURRENT_STATUS
01
SITE_LOCATION
1097 YOSEMITE AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
12
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
�`" '`` � ° " IIiIIIflI iNllil�lill lull{iii <br /> SSL SK 'a'FIIPItI QalrT" <br /> 00632503 5xs <br /> Pleme prinl or type . (Fonh desigtxd to use on iMa (12otcW type Iter, Form Apprared A8 tea. 2tY�-0G49 <br /> UNIFORM NAZARDOUB `y0� 3 <br /> IO Number 2 P 1 d 3 E � , Hanikst Tracking Number <br /> t <br /> WAMMMIFEST GAt-8 7sem2 `� 1 0 0 6 3 2 5 0 SKS <br /> 5. Gar*;*rOrNao* dm MaFrig lcddrass ryxtrrabfs rvtvAdCress (A int t an ma .ng t?i cess) r <br /> Mailot► #�tp,bi l bas <br /> ltttiif la FN46 <br /> WL CA 95320-0000 <br /> rr <br /> U.S. EPAIPmter <br /> truTXR00"81285 <br /> Y �'4" I • % `Y ' y � ' 11.5- EPA 10 Nu b& <br /> ti <br /> MAD039 22 58 <br /> E }' � fll+LwRR»DIiB OF WILMINGTON LLC u.s. EPA ro ► unr <br /> ee <br /> 0744 CA 9 <br /> � 1PON <br /> `�#lIV + CAD844429835 <br /> ' i r + � 10. Centanors lt . Tel.N 12 . Ucd 13. V/a .', (,odes <br /> H_ eraN pea . ID laurrb�r,s y .- No. Tri; Quantity Yr+.Mi . <br /> x . DM Q 221 . <br /> f WATER) ,j <br /> 7 - <br /> am <br /> f ` <br /> — <br /> rif <br /> , <br /> - <br /> \' <br /> i - mw . . <br /> . IN <br /> = - - t <br /> IT I <br /> 4 <br /> T'SD : W I ES 11897 CSB e <br /> fd <br /> : , 300-468- 1760 ( SI( / TF 1 ) <br /> LL by AP To, RETAIN LICENMM SUR CARRIERS AS NErl B <br /> IiIGM I its CADON: I Iwaby dere mat the contrrb d 6s cnmig www acv tuiy and emrmWy dews above by the p vper sNpping rune• and are ckwA 1, paced, <br /> r44are n a[ h pr W tion *A tot trarsport &mo(dng b applivb a ntrmebon9 and r 3tiont19v emn>ental regu atlrxs. K m�aart shlpmcrt ord I un the PircrJ <br /> tpf ty of M amgnrtrcrtl wrdom to be tmm d Um attached EPA Aaromedrwx at Cansml. <br /> on +taaYertwnl kfanNtied n 40 CFR 262.71{a) (d I am a targe quantity weranr) or (b) (41 aro a sma'I quanbty ,xrerater) is lru. <br /> 16> > . <br /> 1� Day Yea; <br /> k — �C =c 1 1 a 11 <br /> tr r • ." t�� <br /> ElInputb U.S. ❑ Evmt Imm V.S. Pug d en7ylvrc — - - -- <br /> : = <br /> )• 3 ' pltpgotutAec�glayMaM� Sigra A4r�t]h may Year <br /> Month Cray Yea - <br /> . <br /> ILI <br /> 7 <br /> 40 <br /> Ir ` lt' . _ <br /> ie <br /> tAa aey]oaicwtw spke U plp► w ❑ Type ❑ Res+due ❑ Pav R*c" Roeden <br /> L64W Ralesence Number <br /> 19b. nwneoa Fad0ty (cr C;9"ralor) U.S, EPA ID N rnbx <br /> J <br /> c.1 <br /> w Feal4tfsPhone: Wrath Pay Year <br /> 16C. Sgruluro of AV"WM FaC l (cr Gerterita) J <br /> Q ri <br /> 19. Kmrdm» NraAe RaOn Merogmtad M tJodas ( e. , aadea br t>rmrda�s rwsle treaq►Iertr, dspoeai, 5M recy�lg syt+�err s) <br /> I <br /> 9. A, <br /> ILJ 20. Pesgruted F801ly D*+wr or Oporator, Certi4COM of receipt of harardoua materiah cWeM by " trtutW except as titled in Nan tea <br /> tfi yped Name Sgrtebru Month Oay Yatr <br /> U1R1=D) <br /> 2 <br /> EIXFRry,,U* .(qqvX ),P.Mious edibons ara obsftle. Y � DESIGN D FACILITYTO DESTINATION STATE (IF I9E0 <br />
The URL can be used to link to this page
Your browser does not support the video tag.