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COMPLIANCE INFO_2019
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2200 - Hazardous Waste Program
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PR0538092
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
7/20/2020 11:36:02 AM
Creation date
7/20/2020 11:15:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0538092
PE
2220
FACILITY_ID
FA0018691
FACILITY_NAME
Dollar Tree #03771
STREET_NUMBER
7528
STREET_NAME
PACIFIC
STREET_TYPE
Ave
City
Stockton
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
7528 Pacific Ave
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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EXHIBIT C: GENERATOR MANIFESTS SUBMITTED TO DTSC (CONT.) <br /> PIeaSC ni or 11111111111111111 <br /> pri type.{farm designed Tar use on elite f 12-Pilch]typewriter. Furn.Approved.OMS No.2050.0039 <br /> UNIFORM HAZARDOUS x-Genaalor 10 Number 2.Page scf 3.Emergency Resi ms Phare a"M mokat Tratk:Mj Alumibu <br /> WASTERANIFEST 011385069 FLE <br /> S Generators Name and Wiling Pd f sS,1, G'didorent TDal mtulinga rens <br /> LF}ia!' I I"tcE #1 i :.:liar' TI-e8NO3F. <br /> 2094786825 75a8 Pacific= AVP SZg P5Lcific Ave <br /> GenwaWs Pln � <br /> . ransponer l mQany me -- P�, <br /> nem5er <br /> 7.iranspor?er 2 ma� _ _ _ G.'. W. <br /> S.Desipnawd PaOty Kama and SitaAditm =l t Ce n t ury EMNS LLL us.EPAQ Number <br /> 2095 Newland: irr. East <br /> Ferrtlev, NV 89406 <br /> FnolBy's PFnnr"� 7" <br /> Oa. Sp"U.S.DOTDesaipkn l)rduding Prow%:prg Namt Hazard Cfts,10 Num*'. '0.Como iceM t1.Yni 17 lln6 , <br /> 3"tYeSte Codes <br /> HM on.Packk7pamdp{K argil No. TWO Ojamry -roc Plol. <br /> a fUN3r?66, Waste Currostv8 liquid, baaif-, :F 00046 H [_Jcc D30 } <br /> F <br /> irlas-gantc. n.a. :. (Calcium Lartarnate. SediDrs I <br /> rzk"nzknat. ;t Dr, <br /> 5 2UNi350, Warta Rerosols, flaawable c. 1. ERG#126 rF 00034 331 nall <br /> 3. <br /> 6. i <br /> I <br /> .0.Special HardlhD InabucAms mcrAdgibwl Inlorm 5m <br /> 1, t�L945�.Ba9ic Liquid:, Garrosiaea =. iOO8Li3iAa;rosol:i <br /> 'S. GERERATORSOOFFEROR'S CERTIFICATION:I herebydesare Wei Aemmr"tsi:l this wosgrmenl are Idly andarra:rarey desarbed abate by ilia proper sNpping name,and aro classi o.pa SxopX. <br /> mvkW enj IzWedipiacarded,aid are in all rasWs ie pmpwooldhod for lramNo ao5ording 16 aw$wole irNmorbonal and OWN1 orerdmdmlal foo um1'al exp ttNp vdand I elm Tile pmmary <br /> EpaW.I teddy dal the wntc sal In oorsignmenl canh.m ro Me iFa'rrr3 d Me atlachx,'EPA R[kn.'wr"ffvnt dO)nmd. <br /> I candy 1ha!'1e'A251e-Mi.iW-111Cr-Slowr of 4enUTreo n CFR M.271e1 Irl sm aarge qurnliry W.remlrfy x(b)[EI am a gaerdtygenemeur . <br /> al" rs er in;a{ Pane L4Anj-2- rgra y <br /> .Imcrradarrel Shp`menta <br /> F LJbrow <br /> 10 U-S. tra <br /> ❑ExPd m 10.S. Pana d: <br /> ? Trulspaters nature Iior O % }- Date reav u"5.: <br /> uki 97.7nMP--fRFkm eadgnerri d Recapl al Afowds <br /> 12 Tranep�der I Pmld'y*Rama �' rc' ar Dcry ear <br /> O <br /> Q -7 <br /> r�nSpOrdr 2 riled yped Name ziprd ort Uzi J E f <br /> F <br /> xs.oisrseas�cy <br /> 78x"Cisueparay Indcathp.Ssur_ ❑Llasnd ❑Residue ❑F�91 R <br /> ly Type Pardd Rea•licn ajelion <br /> Mankil.Refgmnao Nureber- <br /> 1 b"rn=Fod14(dr Geereratan !1S"EPAIO Humber <br /> J_ <br /> C.1 <br /> Q <br /> LL Pear V Plgme: <br /> 18c.5ynalvre of alltrrrdlC FerJilylor GereretlYl VA th Oa{ Sea <br /> F•^ <br /> d <br /> s <br /> 0`Wa Ht)us yrWr Rew rdanagomcr4 Wrod Codes 0.e,codes ku rarardcus waste rrasxent.disposal,and rerydirg syslemsk <br /> -T0 <br /> Z).Dadgsafed FacTity4nner a g7erator,Ccn u6on c�Teoeirtaf hvLmr&jz Tolui is wiemd by The m1*51 exoerr as npred in Item 160 <br /> Prir"te ypal Nwnol Sgnta;ure I,fanth Day Year <br /> EPA Form 8700.22(Rev,3.05)Precious ed bons are absacle" DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br /> May 23,2019 p9.7 <br />
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