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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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PR0539024
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/21/2021 4:47:00 PM
Creation date
2/9/2021 11:28:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0539024
PE
2249
FACILITY_ID
FA0013602
FACILITY_NAME
Dollar Tree Distribution Center - Stockton
STREET_NUMBER
1122
STREET_NAME
RUNWAY
STREET_TYPE
Dr
City
Stockton
Zip
95206
APN
17745033
CURRENT_STATUS
01
SITE_LOCATION
1122 Runway Dr
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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Pleasepdm or type. �I�I�IIIn�pINIIIi 111111N 1111111 <br /> MNIFORM HAZARDOUS f.Genam ar ID Nwrder Form Approved.OMB No.2050-0039 <br /> ZPageid 3.EIna,egResponse Phone 4.Manifest ToINurMer <br /> WASTE MANIFEST 0SZ71 977 PF 13657353 FLE <br /> s.Geremmrs Name am rJ Iung Aaoress canararora sAenaaress flaillerenlunn mam'Soares) <br /> Dollar Tree DC #DC4 Dollar Tree DC#DC4 <br /> (209) 982-1444 1122 Runway Dr. 1122 Runway Dr. <br /> Ribluck"Gmaamh PAone: <br /> B.TmnspatalCom��ny Nam¢ 91 <br /> D.S.EPAID Numbs <br /> qfat <br /> 7TransPuda2 Fycle 8 It Waste Solutions Inc M200110924 <br /> C° M�� EPAID Number <br /> B DzeNeated Fame,Name dM SMPAtlress General Environmental Mgt, LLC <br /> DS.EPA ID Number <br /> 11855 White Rock Road <br /> 163 1@280 <br /> Rancho Cordova, CR 95742 <br /> Fatal Phnre: <br /> 9s. so,U.8.DOT Desnpaon luwmro Proper Shppng Nems,Im7ma CMw.ID Number, Elsa <br /> 1O.Comarem <br /> HM aw PaklrNGwplBarry)) No. Type 1II.T.W 12 Unit <br /> ontary W2Nd. 13,Waste Codes <br /> o X1' L#11950, Waste Rerosols, flammable 2. 1, ERG#12 1 DF 0009 p 3 1 D00 <br /> i 2 <br /> w <br /> 3. <br /> 4. <br /> f4.amome mardmo mammal and nmimnd immmaum, 1. 100843(Aero so IS) <br /> 15, GENERATORImMOFFEROR'S CERTIFIC I,I eIhemby domes that fie mntanta of .omomrant arefulyaq axummq tlesabed abore bytlw aapershippry nma,am are tlassRaa,pamaped, <br /> maMSO ant mbelemgamrdeA and are In all ImP¢de In Pupa aablam W meaPorl aaOnem a b aPpliwhMimenaawdaW nawnal otremmenMl <br /> Egxmbr,ImNfy fist me indents Of his oareIgnmere wnfam m the mrmsoffie atlaclea EPAPslvwwl¢agmglldCpumt g �Mwns if aryM am pmml and l am ab Primary <br /> IwNy fiaghe wash midmbmamsmmmentkenaWin4 CMM,27Ialtalamalagequanu, an rla@)tills Ilms, uanatygm <br /> S. mamNs <br /> dOlferoh PdnmdRypea Nam¢ 1 <br /> Mont Da, Year <br /> —e I&MIsmaamal Shipments Yv\ 1 16 <br /> f— pamrsgmmre br ❑tmpMbU.s. ❑Edpwlfmm U.s. PaldentrMa 9 <br /> ? Tmns ( eapoM odd): <br /> rK 17.namosemAdmowatlgmemal Realwd Mamr¢Is Dale mems,US.: <br /> Transporter l PdnmNo.Nene Signahxe <br /> a. Johnn Her er Month Day Year <br /> n Tmmporlar2Pdn <br /> MyfyPed Nane <br /> r.., .""'7 <br /> 5g 1&1 Day Year 9 <br /> 1 18.Dsaeparcy <br /> I 18a.Doemosse,lNimaon seem ❑omsaty ❑Type <br /> ❑ResMue ❑Paad Ralssaon ❑FUY Rejmaon <br /> 18b.Nlamem Faafty(w GeremmO Man8esl Reference Number. <br /> -e U.S.EPAID Number <br /> u Fledons PMna <br /> 18o Spnelure dNlanda Falkmr Geremav) <br /> i Mmfi Day Year <br /> y19.Hazamaa Wmm Repal Mamgmard Meawtl Caaes(i.e,cetlesb hvadouswesm <br /> 2. heahneN,d's <br /> o f, I proal,a,d reryH'vg systems) <br /> 3. 4 <br /> 1 211 DseMnabtl Rodeo Drmao.'Dp mm Cadfbehal led m m dsmtted hYfiem ed a mind in <br /> mi/Typed me a•. <br /> kAff <br /> "\ Day IYext^ <br /> FPA Form600-22(Ree.1817 Pamomme editions are obsolete, ) <br /> 8700—?? 1auR r . ...... DESIGNATED FACILITY TO EPA's DMANIFEST SYSTEM <br />
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