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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GIBRALTAR
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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 /> rrr4- Ad Hated facility signed copy of uniform manifest 018248817JJ�17/2018)was not found on site. <br /> �4 na LrueW pay""'._ <br /> ly,onafa U m. <br /> r. aw r <br /> 4PBILI JJK <br /> �. - -n^a areper swcy.g unnn.a,ire a va;p NWA- <br /> . .. � 4'..Tmx 4111r•t 53.WaaQG� <br /> TSFE �+wCbl Vn_hUr. <br /> y r�,�ncrwns ane addiLoral lnformaapa <br /> :r <br /> rd lebeladri+��rded antl ares hall reapacts 3nbyroeriara That dre comerso[Nis eoMygnrne tare fuaYaM atturerxly dasoibad above by the `a AeM,aro era Ua z d.pal <br /> P PercondN"on kr tranapon accord) toe linhle uttematiomafaM naNa4akgwemmerrtal regWatla�s.N aryort WVr t arc lam4be PrmarY <br /> I arEN t'mt rhe mments d Ih'rs mna'rgnmanE wrtr»m to me terms of the abashed EPAAcgraMadgrrrenl of Consam. <br /> lNa[dre Hada a�nim"velio Bsddamant Identified In 40 CFR 262.27(a)frf1 am alarge Guanby generabr}a[b}(in ama small quematy generale)IS Uu6. �, Yea[ <br /> s P+tnted YPad ]r- :f Signature 4 <br /> al Shipments �Importroll.S. <br /> ❑fryon from U.S. Pat Mentryle� <br /> g;ey¢�ra(for exports only): Date lea no <br /> T,q,.WAU7VAdgment of Racalpl of Matedala 4Aonth C'i <br /> Year. <br /> 1'PAnfad7.. Name <br /> MMIM Day Year <br /> r2 Prfntedlryped Name SignaNre - <br /> IndipaPon Space LI Quantity ❑Type ❑Residue ❑Partal Raje�on <br /> LSFu4Y Reyadial <br /> ' Lhanifeat ReferenrE Number <br /> ilio,Anal Facil(or Generator) U.S.rprm Number <br /> LL FavetAphone: Muni Day Yea[ <br /> f8q.SgnalGre ofAkemate,Faerlity(or Generalnr} <br /> z <br /> 9 Hazardous Waste Report Management Method Godes(i.e..codes for hazardous waste treatment,disposal,and recycling systems) <br /> 2. 3. 4. <br /> 2A D"Prieted Facility Owner or Operator.001i ian of receipt of hazardous materials covered by the manil excepl.as railed in Item 182 <br /> ntadlfypedhlame Signature Montt 4ay Yeas <br /> EPA Fora 8704-22(Reu 3-05)Previous editions are obsolete. GEME4iATOR'S1NlT1AL COPY <br /> John Alaniz, REHS Page 7 of 12 <br />
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