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COMPLIANCE INFO_2021
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0220109
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/25/2021 11:41:28 AM
Creation date
1/11/2021 1:16:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0220109
PE
2226
FACILITY_ID
FA0002836
FACILITY_NAME
SAN JOAQUIN DELTA COLLEGE DIST
STREET_NUMBER
5151
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10816001
CURRENT_STATUS
01
SITE_LOCATION
5151 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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24 Pour Epergency Response Information, CALL Clean (Earth 03771 577--2669 #�+� <br /> BILL OF LADING <br /> Lading vlan fest; 0181.08--21 <br /> CleanEafthe <br /> DELIVERY DATE JOB# 2 <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> .3a.n Joaquin Delta College REt+ih! <br /> ADDRESS PHONE# <br /> 5151. Pacific Ave (209)538-9840 <br /> CITY,STATE,ZIP <br /> S i OCKTON CA 95207 <br /> CARRIER/TRANSPORTER PHONE# <br /> CLEAN EARTH SPECIALTY WASTE (612)285-9865 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> GEM RANCHO CORDOVA LLC <br /> ADDRESS PHONE# <br /> 11855 While Rock Road (910 315'-Nop <br /> CITY,STATE,ZIP <br /> CA (35742 <br /> Total HM US DOT Description (Including Proper Shipping Name,Hazard Class,and ID Number) Containers ToUOM <br /> No. Type Quantity <br /> R0(D88.1-1YgLIS) ER6(126) <br /> B RECYCLAILE HATERIAL (OIL FILTERS) <br /> C <br /> WN WARNHIS SOLID (EMPTY CYLINIERS VITN MILLE) IWILES) <br /> Cw r:a <br /> —x <br /> D <br /> Special Handling Instruction and Additional Information: <br /> a) 685682-10 - RE.RUSALS UNIVERSOL - Fill (4) 5) 111123-15 - OIL FILTERS - REt18 (5) 0 1711155-18 - VARIOUS EOPTY RETAIL <br /> CKWERS WITH MILL - LF61 (13) <br /> Placards Provided YES NO Emergency Phone#(877) 5577-2669 <br /> SHIPPER'S CERTIFICATION:This is to certify that the above named materials are properly classified,described,packaged,marked and labeled,and are in proper condition for <br /> transportation according to the applicable regulations of the Department of Transportation. <br />(SHIPPER) PRINT OR TYPE NAME SIGNATURE MONTH DAY YEAR <br /> 7) <br />(CARRIER/TRANSPORTER) PRINT OR TYPE NAME SIGNAT REF MONTH DAY YEAR <br />(CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE Y MONTH DAY YEAR <br /> X X <br /> FORM NO.209 REV 11/20 <br />
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