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COMPLIANCE INFO_2019
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0538493
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
10/6/2020 12:32:09 PM
Creation date
7/22/2020 4:13:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0538493
PE
2226
FACILITY_ID
FA0015541
FACILITY_NAME
GOLDEN STATE LUMBER INC
STREET_NUMBER
3033
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
Way
City
Stockton
Zip
95206
APN
17702008
CURRENT_STATUS
01
SITE_LOCATION
3033 S Airport Way
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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3033 S Airport Way, Stockton Record ID PR0538493 <br /> 11/22/2019 Hazardous Waste <br /> Photo 9: Desi nated facilit signed copies of Uniform Hazardous Waste Manifest number 013483037FLE (7/9/2019 was not found on-site. <br /> HA <br /> P*OW fir. a <br /> Ul11fWtM ZNWWa 'C:" Z PW d 1 margnq Ilaso�Ne awe 1 <br /> WASFE MAHIFEST CA 0%fAA S40 <br /> � Ste-w�xtxe 4c,.s�� FLE <br /> 4 ixmMor's 14M ma Malla9 Adn>•va Ga�laNafl saJ Wdraaa PI NUeei+urmakg ltlbeMi <br /> UMMIIA!Iw LUN&P <br /> 1�S Anse_w.f <br /> vecM.n,cw <br /> u.^.elore algal. 7 W-2�-7 144 �s Evbw rrmraer <br /> a Tyrpre,llr 1 �pgoy4ea5v <br /> @aj Sky glwr+MOM01506""t' ua ear ro N mas <br /> 'Trer=morlar2C.V-WN" MIK 435 642 742 <br /> Fp►I d4at1►h�geAf� U5 FPa 16 Number <br /> FRas¢ 6 QetlFaPa0 IMa4 and Slk Adbrese <br /> iM FMYAwaY Y9 47 nft1 sl"h 4i <br /> 1 FAWWRY69 3 I NVCSSoo Iow <br /> FaaW's ahvnn 776-563_720 <br /> i9 Confa;ne>s '11"A 12 Uns 1},tYast CeOe+ <br /> y^ Vh-11,5 DOT Pesawlio Wduanll"I Shlpolm Name,Harsh C�D Nw� Ne Type Guannly M V.1 <br /> HAI and PatAxg UIMiP(ii any)} <br /> '4S 2 <br /> s 1 I <br /> ° o Non FtcFtA Hazaaftus WYSIr.SOhd IAebnll <br /> I � <br /> t = <br /> let <br /> � t - <br /> 1 <br /> H1. <br /> o� t t'U'Dns and Adtfv" T!2 t, lilna <br /> W poft10 07012SW-25 1 R I <br /> V F7aAER(jENCY CONTACT.EFF prim <br /> ll'ODFS <br /> ra1BVy de54dlled above 4v Ne PmPar shlPPln9^ .wd a[e rlassoied.asomw <br /> a . <br /> I hle lrc�gtna4onaland aeuonal gOVemmamal ragula9oli%.11>•rPan glryprn9nllam the ary <br /> dedam)nal <br /> 15. GENE RatOR'SlOFFEROR'6CERTIFICATION'. hereby Ne wnlenlsd "a wnsi9^mem_am luny alM anal' <br /> m.sd and lahalediplasamad.and are in ell respects In player ca0 a ksn for lranspod acco[aing la apP>� en-wn la vue. <br /> Eapoler.I cetlify Bret the wnlanla of)his eons Jnmant If'lm A262.misolthaIsl9 W"Rtin^wJ;ed brld l4l l [a slr�sa yuanl)ty4 Mmttd D3Y 1e> <br /> certliy Mao dte whale m�nim¢atiory slam,I denufied In 40 CSR 262.27fa)(1119-a large qna N9eana are r <br /> Gerteralafs10Rerors Pmnedr<yPed Nana• - <br /> Pod OEO^lnledt.—� �~ <br /> ❑ ❑Ewart fmm U 5 <br /> 16 International 5 ❑are leara�q U.S.', <br /> Ship—Is lmpon l0115. <br /> Transpnder sgoalure Ilw vpods amyl- Mamh ❑ay Yaa[ <br /> 17.TWWDder ASMnovAedg^rent d Receipt of Materials Signature _' <br /> { / i <br /> pl � TransPnrta:r 1 Pnn[edRYP�Ns— .. ch nM Dav vrr <br /> o- Sgn.Wa, <br /> Zlrarrsyoder2 In'- <br /> 75- <br /> nntet5 <br /> ❑Full Refelaan <br /> 1 16 f NvePanry Type I]Resdue ❑aada Rele an <br /> 7Ba,OlsnapancY Indication SPace Ouannly <br /> IF ManVfsa4ftelare,ka Numhe[. a S,EPfyI9 Nurnher <br /> If 1,.Altemate Facility for Gerreralrn) <br /> w,dn Day ',aa <br /> 2 i � <br /> U <br /> 1 w FaGllh's Phone. <br /> 7; in 18c.signature of Altemale Facility fm Ge,eraf°rl <br /> 1^rhazartlolfs waste t,atmenl,d[SPasal and recycling systems) <br /> 7 4 <br /> r <br /> LO Y IB RaWd f�erla9emenl Method Godes I!e..cedes <br /> q 6 19 HazardWS Was p. <br /> O t hbnfi DaT 1'Ou <br /> I t W hazardous melarisls cnvemd bYthantani"t e=,uePk as noted in 11em 18a <br /> Or LlWraler CedihcaUon of MOO SignaWre <br /> 1 <br /> 20°e$1go8�q FaGlny ownm TOR'5 4NITIAL COPY <br /> PnnledlTytdame f]ENERA <br /> prav'4usedimnsa[eobsolste. <br /> FPA Fnrm 87Gfl•�21 _ _ -- t 1 1� <br /> John Alaniz, REHS Page 9 of 25 <br />
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