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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
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EHD - Public
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Please orint or Farm desWted for use on ekte 12 ch Form Approved.OMB NO.2050 003g <br /> UNIFORM HAZARDOUS WAS1MANIFEST 2,.Gerteralar ID Number n Page P z3.Merifap Tr�ekbg Mw dm <br /> (Contlnuawn Sheet) CAL000018 159 0 f 2 000175151 WAS <br /> 24 a <br /> � g / DAWN JESS g6TE# ARP606.CLERK <br /> T , IL <br /> IL 60179 SST <br /> CKTON, CA 95205 <br /> U3.EPA 10 Nurnber <br /> 25.Trampoder Cornpeny Name <br /> i <br /> 26.Transporter_ Company Name U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Desor".(mclOng Proper St PPP Name,Hanrd Cfass,ID Number, 28.Contahwa 29.Total 30.Ung <br /> HM and P.*kV Graq Of any)) 31.Was10 Codes <br /> No. Typo Owntlty Wf1Vol. <br /> X 5. RQ UN2929,WASTE TOXIC LIQUIDS, FLAMMABLE, D001 D016 <br /> ORSAN�lC, N.O.S.,06. 1(3) PGII, l 3 P l <br /> 5. DICHLOROPHEN XYACETIC ACID), (DO37 D001), XXX XX XXX X xxxx xXxx XXXX <br /> ERS#131 <br /> C t P xxxx xxxx xxxx <br /> s x , IC, <br /> a D'� <br /> o X 7. HE biQldlig RAS" <br /> tFA�,cat �� ^,T <br /> El, <br /> g. N IUI+(0,) J*%kA"J, I'll <br /> p �-T <br /> cbx P lv <br /> it���lhlrelS J �-.� lz <br /> 1 <br /> C 3 P p P 3 <br /> sm '4 � 'rar ',° �Y f p� W <br /> -3 pr,4WI <br /> t .�,L: wAl <br /> 33.Tra d d Materiab <br /> PMted/Typed Name Signalt- Month Day Yew <br /> tY <br /> O <br /> m <br /> Z 34,TranqrAw Acknowiedgnmtof dMalmhat <br /> Pmte&Typed Name scrabre kWh Day ear <br /> r— <br /> r 35.Disuep" <br /> CJ <br /> V <br /> Q • <br /> LL <br /> O <br /> W <br /> Q 36 HgardOLS Waste R Management Method Codes(.e,codes for hazardous waste Vearrnerd,dspasai.and rwydng srA—) <br /> z Hi41 6. H141 7. H141 <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />
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