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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MARCH
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1209
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2200 - Hazardous Waste Program
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PR0538317
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
7/21/2020 11:26:47 AM
Creation date
7/21/2020 11:05:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0538317
PE
2220
FACILITY_ID
FA0022071
FACILITY_NAME
Dollar Tree #05403
STREET_NUMBER
1209
Direction
E
STREET_NAME
MARCH
STREET_TYPE
Ln
City
Stockton
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
1209 E March Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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EXHIBIT E1. FINAL MANIFEST <br /> Please Mint or type,(Porto designed fpr U9a dr1 elle(12-pitch)typeµrtiter.) FormApproved.OMB No.295(F0039 <br /> UHIFpRN HAZARDOUS 1.Genemmr IO Nrallber 2.Pegg 1 d S, g�T Response Phone 9.Manifest Tracking Numbm <br /> WASTE MANIFEST CAL00+0391425 Y� 8775772559 ❑1141 898 FLE <br /> 5 Uererakfa Name and Wil:g Address Ger WXS Ml AMMM(if affwwR than nmifng address <br /> Dollar Tree #5403 Dollar "tree#05403 <br /> 1209 E March Lane 1249 E March Lane <br /> C'imneNs Films: Stockton CA 95210 stocicton, CA 95210 <br /> mr;porar o mny df1P U.S-EPA 10 Numygr <br /> 7-irarspader 2 Cmrperry iJaale U.S.EPA ID Num <br /> >�ervr �� �'MT ber�0/ <br /> 6,Desgnated Facility Nerve ane Sim Addrags 21st Century EMN, LLC U.S.EPA IO Number <br /> 2095 Newlands Dr. East <br /> Fernley, NU 99408 <br /> Fadlhya Phone: <br /> 9e. 911-U.$.DOT D—Olson[ncludbtg Proper S*pn9 Name.Hazard pass.IDN w-.b%.. 10-Container; 11-Tda1 12 Ueh <br /> HM and Fapkrg c-W T-Yll13-Waste Codes <br /> Ha Type QuanY[y MRNG <br /> X 1141950, Waste Aerosols, flammable 2.1, ERG#126 1 CF 00021 P 331 D001 <br /> P <br /> W <br /> uj X 4JN1993, Waste Flammable liquids, n.o.s. 1• CF 00008 P 214 D001 D035 <br /> (Acetone, Methyl Ethyl Ketone), 3, PG II, <br /> ERG#128 <br /> X 11N3264, Waste Corr,u5ive liquid, acidic, 1 DF 00053 P 791 D002 <br /> inorganic, n.o.s. (Hydrofluoric Acid, Acetic <br /> Acid) B PG ll ERGN154 <br /> a. <br /> 1a.spedaraapengldeudkmand ad llmomasdn 1,100843IAerosols3 2.10085@(F1ammahle Liquids) 3.100842(Acidic <br /> Liquids, Corrosive) <br /> '5. GENERATOR'SIDFFERCR'SCERnF]CATIMN:Iharpby dec�re tlrel me canterntadmscanagnrrerrt are fury and arcwratdy desabed aboveMmg pcpersrypping narna,and are aassRred,p3pggeC. <br /> marked and LAbeladrplaoarded,and ars In all rasped.in prer ow <br /> op *ion for tra pon acmidiM w 2ppYpblo inamaWrnal a rd national 9namFr rAal mgulafiv$.if e.pod s*g rl and r am the Primary <br /> Exponar,I certify mar the=Iwls d tris Cdrkwuwa{d eonmrtn to fie terms d pre atladned EPA Adma lWdpment of onnaw. <br /> esrltry 1ta11he waste mininrizaty sdtammt eenfed is 40 CFR 2622T(a)Gil lam a Iarge quanfiry gena-dini or lW{Alam a argil quantity generawl is true. <br /> Gerrer s nNanw ra ire Vlwlh Jay yeaf <br /> a. 03 201 <br /> 18.Interrretipnal 5hiWwls ❑Importm U.S- ❑EApprtfrom U.S. PpriManlryA xl <br /> TrML4w Swfflll fpr s. its s: Date 1 airq U.S.: <br /> a' 17.Trarsp wAcknaemdgnwnt d Receptall Materiels <br /> Trar:spWw1 kdllyped Name Signabina MDrdh W Year <br /> John Lain I I <br /> 11 43 201 <br /> Traw'p%'2 Pnmedrryped Name rrff / rgnanre y aar <br /> '8.Oecrepeacy <br /> :8a Disaepar:cyl Iralim Space ❑Ownity ❑iy ❑4esi..z ❑Pa*A R*Ckn ❑Fu8 Rejection <br /> Manirest Refereeoe NumyBr, <br /> 18b.Alternate Fadlhy(cry U.S.EPA 1D Number <br /> V <br /> 4 <br /> vL Pap s P71pny: <br /> 18c.slgratueof Adldmate Faplity(a'xnerekrl Mundl Day Yee. <br /> C <br /> a19.HaraMotu Wada Report Mar t MdtAOd Codes(i.e.,codes kr hezar&us waste beabnBK empoaal,and mcyc ng sysmru) <br /> W <br /> 20.Designated Faahy Desrera Dparato-.Ceriffim5on drem"of hazardous nasenals ooverod by the manffag sweep[as Wad n IEtm 1$a <br /> P Rra rTpi2 Name 11.1h Year <br /> EPA Form 8700.22(Rev.3-05)Previous aftns are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br /> 8700-22 12v3 CAL8470019 540030301 041239726 M PD110318 ED110318 <br /> May 15,2019 pg.8 <br />
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