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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MARIPOSA
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2200 - Hazardous Waste Program
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PR0531067
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
9/29/2020 1:22:36 PM
Creation date
9/29/2020 1:11:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0531067
PE
2220
FACILITY_ID
FA0003278
FACILITY_NAME
Kmart #3174
STREET_NUMBER
2180
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
Rd
City
Stockton
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
2180 E Mariposa Rd
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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IININ INq tIN INTI IIS IINI IIIN IIIII VIII Iill Ilglll IIIIU II Iill <br /> Please pnrn or'rc a (Form for use on eW 12 ) ,�wl Form Aa--l(!.OMB No.:OvSlw 39 <br /> UPWORM HAZARDOUS C--'D- 3 E-O-px,Response Fhr» 4 mand"t ncirp wunb.r <br /> WASTE NWEST KCAL 000018659 Tw <br /> (800)326-1221 000163362WAS <br /> c ��roliJ °DRP. / DAMN JF SS . M ~f I�3 �' <br /> 3333 BEVERLY ROAD 2180 EARIPOSA RD. <br /> FI()FFMAN ESTATES, It 60119 STOCKION, CA 952.05 <br /> (209)948-8205 GEN: 117582 <br /> ;"a4r•a R,7u <br /> —arnpoft I aro++t NAlre is EPA 10 Numbw <br /> HFR I TAGE TRANSPORT. t_l_C I ND0504841 14 <br /> m%Qortw 2 i:mrpw r No-* u S EPA C k rbw <br /> a C. arc F wicq r"r ww.,Ae Address is EPA <br /> HE ITAGE ENVIRONMENTAL SERVICES, II_C <br /> 5122 EAS1 STOREY ROAD AZD081105402 <br /> COOL IDGE, AZ 85228 <br /> F ,PN-„e (520)723 -4167 <br /> y 9t u s":'uewj%.&x -a,^r*tvw 'IAL'v, C Nr car ata s t yJM <br /> •0/ ,Ind�awy.in+4 rri'r, .Yaue('ICH <br /> 1 <br /> XR(! UN1950,MASTE AEROSOLS.2. 1, (U001 D039) , 3 ! 00 3 <br /> FRG/( 6 00 (p Jo D039 <br /> e1 X O1 ),f_RG I <br /> Xj.I alST WA TE F�AMMAB1281 IQUIDS, N.O.S. . D001 <br /> X AUN3139 WASTE OXIDIZING ID, N.O.S. . 141 001 <br /> 5. i FSG if <br /> (HYDROGEN PEROX I OU, SW I UM - <br /> HYP�CHL64ITE),(D001 E 140 3' <br /> '4 sp�ctw MwP�`9.^ac,obn�AedMrr Mon�eon <br /> I .WB Q450281_LDR ?..W14_Q439584_lDR 3.W12_Q450303_LDR 4.W9_Q439579_1_DR <br /> [ 1145415]G <br /> 5 WWPAMW FERM'S CERTFXAT10w MrebP deOan tN!M COnlarNf d era bnfr9nreafl an hIy anC 1'G.ralary delOrWC Abu"Ct N pnpw thpLdN r"atam uawfad.packapad <br /> -ariad Ano wboom 0&woad and ark n as•eepacm r vowco,~Ur 7a vw aacorenq n ana.�nmwAa KpKAUQ~worw d nasaw 9mgAxWn* 10 qrr! and I Am to Pnfswy <br /> E rporlw i OwWy l W tM oor.wrb of fM conW,rmt oadam b ft Wn of the eand'od EDA Aouv.*dgnary Y Co-wt <br /> UVWV PW"rma mewwow sWW"W.omit d r 40 CFR M 2?1a);l I am a W"?r+*-y gw,watx c,"-'. el am a tmaa)'wMr .a 7',w <br /> Day Ysw <br /> / 1a/ /D 1 o <br /> 1R neartNtlorue iWjrMrri ( <br /> "Po"to J s l F■pat hon u 5 Pan d anyyyea <br /> (tor Arxib r I Date bamy LS <br /> !' TwivurW AAnoMaVnwA L!RooW it Matlwfwo <br /> ,WWartw 1 .(ped me La few <br /> 91; <br /> Z w400 W 2 ad(p %" �.snaa ear <br /> < 18.Disaepancy <br /> 18a.Dieaepe"tr "Wn Specs ❑ <br /> 18b.ARwnals Fac&y(a Genenft) U.S.BPA ID Nw6w <br /> U <br /> phare; <br /> Sgrvt'-of AAwnWa Fadky(or Generetx) MoNh 14, eer <br /> k <br /> 19.Hazardan Waft Heparl Marmpwnwtt Alatltod Cordes(i e.,mdse br h®rddm waste Ueaenent,diapoed,and nx,-tdaq fib) <br /> t• 2. 4 <br /> T <br /> . . <br /> H141 H141 H141 H141 <br /> m 0-9--F-ft' or C WMor Cul lcoft i at mW of hazwftm ma4neb cwwW by ft mtxkt eco as noted i Item 18a <br /> rose �,�,.� r.r..e� .a. year <br /> �A�00 <br /> SAF"e 1 Pttw on5 we t�•Hip. ,e II <br /> 44SIGATED FACILITY T�NA�TIONTE(IF OUIR ) <br />
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