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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0536997
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/7/2021 1:12:51 PM
Creation date
1/7/2021 1:10:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0536997
PE
2220
FACILITY_ID
FA0015638
FACILITY_NAME
Bed, Bath and Beyond #811
STREET_NUMBER
2886
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
2886 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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590693-20 111111111111111111111111111111 <br />59DS93-20 4153696-001 <br />Bill of Lading NumbeF Dale of Pimp <br />590693-20 <br />BILL OF LADING <br />10 23 20 <br />Page 1 o 2 <br />Emergency Phone a (877) 577-2669 <br />Generator's Name and Mailing Address Generator's Site Address 0f different than mailing address) <br />BB&B C/O PSC ATTIC BB&B CSR BB&B 60811 <br />5151 SAN FELIPE, BB&B 811 28M WEST GRANT LINE RD <br />HOUSTON, TX 77056(209)832-3189 TRACY, CA 953042098323189 <br />HM <br />US DOT Description(Inc.ding Proper Shlpping Name. il.., 0 CIE. ..a lD number) <br />Caotalners <br />Total. <br />Unit <br />slate Waste Codes <br />No. Type/Site <br />Quantity <br />WLNoI. <br />eATlrERIE9. ORV.SEALE9: N..06(AL1[AOgP eATT�91E5.to. aEerCtEJ UmvEn9sl W.• <br />1. <br />IINIVEI6AL WAelEyAMP{31lCdMPAnLU08E9CE[RCAEEaSI, - <br />2. <br />v <br />V W VEPSI.L WASiE. E`enTMOnIC nEVI(.'ES(Sj (eEMEPAI E:WAETEI <br />3. <br />T <br />CIY <br />400 <br />P <br />Ua9b9p LLnNUM MCTAL9aIIFPIE[(UNIVE0.9AL WAST#BAiYegVkE9(19 <br />4. <br />X <br />Aaellionnl Leorninlinn/LoIi CCJn <br />Cr(j.b@fILFLLl9 CFL 8U11L4.U1NVEh4AC WASTE(,1)aBBEWAS'rE,eB-EHGU aeaEWASrE-0O-E <br />I1 WEA11{eATT�-EflGUa96A 90111U-03-ALKAL1tlEMrffATRER <br />WASrE(if 989[.mLOa-ERnn]a)e®LItX-0e-LRNIUMMETAt"MAT(ENES <br />Conbat V PO.Nm <br />Spatial loshuctions/Reasons7ar Dalay <br />No: of Overpacks used <br />Stan Tlme <br />A wdotDUstchow <br />Departed Customer <br />Delay Time <br />GENUINTORCERTIRCATION <br />"Ih.bydoeare that the tammtsoflint rural arronlartfully and ..let, described above bylrrppershlpping riameamldawllfad,,> ,aO mactod.nd <br />lebolled/ta .Tided, Andor In allmovas In proper conditionfor Irmmwrf ao.hyng to oppleableIntamalfonat End nalionallpvemmcrtal resuladmts:'I Blsarendy Matall <br />lines kiwi abd va am tryo and tWort <br />Print Namo Cluts Gilliam (Stericycle, [neon behalf of BS&B 6 0811) :� ' r/j Dale- <br />fractork <br />Trailer# <br />Box Spotted# box Pickecupb <br />Uner <br />Tmasp9rler.011 <br />NAME STERICYCLE SPECIALTY WASTE SOLUTIONS INC Li phone <br />/ EPAIDNO. MNSMI10924 <br />Print Name Chris Gilliam Once 10 23 20 <br />Tmrtportprp2' <br />NAME Phone <br />EPA ID NO. <br />PhnLName Date <br />TSOF Arrival Tim. _ Reason for Delay <br />TSDF Doparlare Timo <br />Delay fund <br />Finish Time <br />Contact Broker <br />CosiveoRreamenVSionSe/Disposal Facility EPA Identification Code No. CAROOD21D517 <br />Cosigned To: 21 at CENTURY ENVIRONMENTAL MANAGEMENT OF CA LP <br />11855 WHITE ROCK ROAD, <br />RANCHO CORDOVA CA 9W42. (915)351-0980 <br />Thisis to Certify the acceptance of this waste for treatment storage disposal <br />Prim Namo Mr.9mm We <br />
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