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COMPLIANCE INFO_2019
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PR0538350
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
8/18/2020 10:17:26 AM
Creation date
7/9/2020 2:35:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0538350
PE
2220
FACILITY_ID
FA0012734
FACILITY_NAME
SAFEWAY STORE 1769
STREET_NUMBER
2808
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2808 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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PMERM lease pool or type . Form Approvetl . OMB No , 2050 -0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21 . Generator to Number 22 . were 23 . Nenrest Tracking Number <br /> ( Continuation shoo) CAR 000 247 213 2 019865774JJK <br /> 24 . Generabrs Name <br /> WEW4Y 1788 <br /> 25 . Transposer _ pany Name US . EPA ONumber <br /> 26 . Transposer _ Company Name U . S . EPA ID Number <br /> 27a . 27b . U . S . DOT Caecsp6on including Proper Shipping Name , Hazard Clan ¢ ID Numher , 26 . Containers 29 . Total 30 . Unit <br /> HM antl PxYvrg Groupmany) ) No . Type Ouan6y MA/01 . 31 . Waste Codes <br /> MUNI IlVrAste Medidne , Lkpdd , Toxic , N . 0 - S ( SBlrer, 001 DF 00015 P D007 DOfO D011 <br /> ChrembMn) , owl PGIII , ( R0 : D011 ) , ERG 9151 <br /> OB , UN324 , Vtgate Ligidd , Flammable , oxk, 001 DF 00002 P D001 D005 00 <br /> Ift ( Gasol , Rowrdnol ) , 3 , (8 . 1 ) , PGlll , ( RQ : D009 ) , ER <br /> 9131 <br /> e solM , toxo , ri ( Rasldue L 001 OF 0000 / P P001 311 <br /> Comichmi VlYrfarki 8 . 1 , PGI ( , ERG 9151 <br /> 0 on ax ua 1Mst0 . Lk Wd ( Conslaner Products ) 013 DF 00398 P 331 <br /> OWNIN 1 CE ) T ( CAIS BABSHWRX02 / PBSIIVdiX02 - FLA 1MOXIC PHARM4CHJTICALS AND PPE 7 . <br /> ABSHWRX041ABSHMX04 a EMPTY P- LISTED BOTTLES , 8018 Carol : 304Resler Ws : O .Oc% w WI : 0 . 72 8 . ABSNHMOI IABSNHWUI - <br /> NON- HAZARDOUS UQI11DS 4 SOLIDS <br /> 33 . Tim rapMer _ MNmvied ment of Receipt of Malesals <br /> w Pdrmyorypetl Name Signature MorM p ¢5Year. <br /> O <br /> i 34 . TranspoMr _ Adni parent RemiptW Matasals <br /> PsmelRyped NameSign ure a <br /> y Year <br /> 35 . Di pa y <br /> Q <br /> 36 . dy o ) Repos Management Me� Co � l � lodes br M1arartlous waslelre rnr 4tntl mrycliy systems ) 06 H141 <br /> U <br /> EPA Form 8700 - 22A ( Rev12 = 17 ) previous eamons are obsolete . DESIGNATED FACILITY TO EPA ' s e - MANIFEST SYSTEM <br />
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