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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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
Tags
EHD - Public
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� <br /> MAY 1 8 'M <br /> L <br /> Pboae <br /> Witt or tge,(Form desigred for use on eke 12 typewrtter.) $,I 1,156hA 20%0039 <br /> UNFORII NAMMIS WASTE MANIFEST 21 Gerwalor ID N'Vnber 22.Page c 21 <br /> (CeWMumdan Shm CAL000018659 <br /> 24-0�' MLDINGS CORP. DAWN JESS KMART # 3174 MC&C CLERK <br /> 3333 BEVERLY ROAD 2180 E. MARIPOSA RD. <br /> HOFFMM ESTATES, IL 60179 STOCKTON, CA 95205 <br /> 25,TivirmpDrior Coffwrry Nam U.S LPAIUNUMber <br /> 21-T-apm* Company Narne U.S.EPA 10 Nwbw <br /> 27a. 77b.U.S DOT Description imbAng Prow&*p"Nam,Hazard Claw,D Nwber, 28.Contarera 29,TOW 30.Unit <br /> HM w4 Pac"GroW(H arvy)) No. Type Quantity WuVoc 31.Waste Codes <br /> X 6. RQ 'N1993 WASTE FLAMMABLE LIQUIDS, N.O.S. , D00] <br /> '7 <br /> �lPGI�, (PAIW, (D00l),ERG#128 <br /> Le- <br /> OfIf T n 01 Q pM -4.41 996 <br /> 264"r <br /> GR f 4 er, sly- <br /> F'MMQT7TNG IT n HYP <br /> � -nUl)lLJlq <br /> X 9& RD UN2929'WASTE TOXIC LIQUIDS, FLAMMABLE, 331 D001 D0DICH16 <br /> GAIC N OS F, 1II (2 LNOR&HEN6XYkTIC(3)hCjPGD): (D64- <br /> 9. ERG#131 xxx xx xxx X XXX)l xxxx xxxx <br /> XXX) XXXXI XXXXI <br /> X E1RG#10-UN541731,HYPOCHLORITE SOLUTIONS,S,PGII, <br /> 3a DF /2-7 <br /> I Tawn, :Z:5�4 <br /> T -ASIC. <br /> T�& —�—[-TLIM) R <br /> Q <br /> T <br /> S. 8 PG'TT <br /> Mm"T:5. <br /> PAINT, DETERGENTS)- X I eic I <br /> T— P. 194, <br /> wila mewice i.6 <br /> 10.W2T 13520158 lig 1-94vW2915-4--W +22 Q40- 1.3.WP3 05201kn <br /> 3%.rc, <br /> 111=1 mxnowwogmeni of Keompt(m materos <br /> 1,21 --.yt— wm <br /> . *na&ffe Month n" Y-, <br /> 35.E)WaWwcv <br /> LL <br /> WO <br /> m MW!"Waste Rf na7it Metho"s 6.e,co (r <br /> wave trept7wrl.d*posj^,fydmg system)a. <br /> H141 <br /> 0. H141 <br /> L <br /> EPA Form 8700-22A(R--3-0)PmOms editions are obsoiete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />
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