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COMPLIANCE INFO_2015
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0524704
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COMPLIANCE INFO_2015
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Last modified
9/3/2020 1:07:25 PM
Creation date
9/3/2020 12:42:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015
RECORD_ID
PR0524704
PE
2247
FACILITY_ID
FA0014473
FACILITY_NAME
TARGET T1526
STREET_NUMBER
280
STREET_NAME
SPRECKELS
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
221-200-270-000
CURRENT_STATUS
01
SITE_LOCATION
280 SPRECKELS AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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7 z .. <br /> a p Form Approved.OMB No.2050-0039 <br /> enerator ID Number 22.Page 23.Manifest Tracking Number <br /> Akd <br /> U.S.EPA ID Number <br /> 25. Transporter Company Name <br /> U.S.EPA ID Number <br /> 26. Transporter Company Name <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> HM and Packing Group(if any)) No. Type Quantity Wt.Nol. <br /> . c ��;.Y. �.'•"'Z:.: l _ _ I,.f! <br /> ' <br /> O <br /> z <br /> w <br /> 0 <br /> rr <br /> i,. y.�t?' �' !�F� .A'Dl t Ott i!• I� Es <br /> / t C/� <br /> rt — <br /> is 10 Y T ' .t s rte:, 1-I;i'F1'•etC <br /> i . ;-i:. - e^Y' <br /> ,, 1i "t4 is <br /> t <br /> 32.Special Handling Instructions and Additional Information >` <br /> W - _ _ <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> Signature Month Day Year <br /> LU Printed/Typed Name <br /> O <br /> a <br /> Z 34.Transporter Acknowled men <br /> t of Receipt of Materials Month Day Year <br /> < Printed/Typed Name Signature <br /> F— <br /> r 35.Discrepancy <br /> F <br /> J <br /> Q� <br /> LL- I <br /> D <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> C <br /> in <br /> ua <br /> D <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. <br />
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