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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4202
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2200 - Hazardous Waste Program
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PR0538513
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
7/23/2020 1:41:30 PM
Creation date
7/23/2020 1:12:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0538513
PE
2220
FACILITY_ID
FA0016414
FACILITY_NAME
OLDCASTLE APG
STREET_NUMBER
4202
STREET_NAME
GIBRALTAR
STREET_TYPE
CT
City
STOCKTON
Zip
95206
APN
17728043
CURRENT_STATUS
01
SITE_LOCATION
4202 GIBRALTAR CT
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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4202 Gibraltar Ct, Stockton Record ID PR0538513 <br /> 11/13/2019 Hazardous Waste <br /> S <br /> desi nated facility signed copy of uniform manifest 018248976JJK (8/7/2018)was not found on site. <br /> az � <br /> ' <br /> �Mt•�w.–sr t r <br /> �L��y.,.,*::�,�• ..Y�q�`4gy9l1rit.�;A4 Cwnb +t W1unY5 ll 1l Li l]v�lt ( <br /> F <br /> T19s Va_NN <br /> -speod bWpempn5 ark.;ddipppy reramregn <br /> enc:r r.r <br /> IS. GENERATOR'afOFFEROR'S CER7i1:CAMN:11ra'soydoa..theteu wmlents �arvfaeralt erlNb and A�auy dssvaetl eErneWa1e morin slvpWtg"^^".xd d..wa d. <br /> nra*.d"wbaledO.U.Ied,erd ere m e!I mspeps nremesiwlerd raea+el �1b,d° s14rrxnr <br /> Epater.I MVy out dp canknb of th'v5 MW�o 4tl.br —1d.6 Pp'" <br /> IterEfy argil Ele wade ma MmEon stat—1 gi SmbMotll�4,4o ern M27{al f eine Isrge q-ntq—S ln1 IgI asmaa a--ft,9 81O`t <br /> C. ebYSM1'MBrw's Nrn1etl17YPed NemE s"Nrc <br /> I6.In�maEonal SnVpmen3s ll <br /> = TrampMer sp7nanrve or ry❑ImPon m{l,s_ ❑E on fimr Ujs Podolemylewt <br /> e>�orts on oak leaving ll.5.: <br /> �rc 11.TmmPm a'Ad-wWP rrranlaf Rsovpl ofkktenls pay Year <br /> rr Tra'grF; !{YA,ed Name SgeEae . <br /> K <br /> tAxYt Do,, <br /> 7d Transport 2 PrinleWyped Name Signature 1' <br /> C <br /> r– <br /> ff♦♦ IF_0sr rcncy - >„� <br /> I M.Disoepeacyindicatlon Spa. ❑ ❑Residue OPar9al Ra�ection �Fva - ti <br /> r!1 nfiry Type _ <br /> Manitesr Re*enw Number. <br /> - 18b,AlE+irrete FaWly(a Gor lor) i1 S EPA IO Number <br /> v <br /> FaaWs Phone: <br /> 76c,$jgngltlR efAdamalE Fall (IX Generalor) <br /> 111oM[s Ds� 'tear <br /> 4 <br /> 9,Hazardous Waste R Mane Metlrod Codas O.e.,codeslorharerdous waste heaenerlL dlsposaV,and recydirg systems} <br /> p 9• 2. <br /> 20.Designated dkh Omer or Operabr..Cefta ion of receiPI of hazardous materials covered by dm manlTeat except as ndad in Item 1Be <br /> Prinled'r ame <br /> EPA FG 7ao-22(Rev.3-05)Previous editors are obsolete. GENERATOR'S INMAL COPY <br /> John Alaniz, REHS Page 6 of 12 <br />
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