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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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11373
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2200 - Hazardous Waste Program
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PR0539211
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
6/24/2021 8:32:02 AM
Creation date
5/3/2021 4:00:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0539211
PE
2220
FACILITY_ID
FA0020527
FACILITY_NAME
Delta Water Supply Project
STREET_NUMBER
11373
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05903002
CURRENT_STATUS
01
SITE_LOCATION
11373 N LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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Site Address: SAME <br />SC PPW 7/12/2015 <br />1096943 WORK ORDER W1se46+4S7&0W <br />DOCUMENT NO. STRAIGHT BILL OF LADING <br />TRANSPORTER 1 MewwamsVEHICLE ID # <br />EPAID# MiF8-D9-9344Y60 TRANS, 1 PHONE <br />TRANSPORTER 2 VEHICLE ID # <br />EPA ID # TRANS. 2 PHONE <br />DESIGNATED FACILITY <br />Clean Harbors WWeiylpon LLC <br />SIGN <br />SHIPPER <br />Doke Water So* <br />FACILITY EPA ID # a <br />CAD044429836` <br />SIGN <br />, <br />SHIPPER EPA ID # <br />CAL000308212 <br />ADD'1%7 E�Elewd�E <br />DA E <br />PRI - <br />BY <br />ADDRESS <br />11373 N. LowerSaramwav Road ,. <br />CIN <br />STATE <br />CA <br />ZIP <br />90744 <br />CITY STATE ZIP <br />lads CA 95242 <br />CONTAINERS <br />NO. d SIZE <br />DESCRIPTION OF MATERIALS <br />TOTAL <br />QUANTITY <br />UNIT <br />WTNOL <br />IIN19SQ, <br />AMOSOM RAI#t9A51E.{EACH NOT DICEEDN161 L <br />1O <br />MINSTRUCTIONS <br />SPECIAL HANDLING EIERa01CYrx01¢l j40"719 aENEBATOWDekaWillerflWAppt <br />ARH1617580tit, 128 <br />SHIPPERS CERTIFICATION: This is to certify that the above named materials are property classified, <br />described, packaged, marked and labeled and are in proper condition for transportation according to <br />the applicable regulations of the Department of Transportation. <br />PRINT <br />PER <br />SIGN <br />pqj <br />P INT <br />SPORTER 1 F 2A <br />;RECEIVED <br />SIGN <br />, <br />MIN I <br />SPORTER 2 <br />SIGN <br />DA E <br />PRI - <br />BY <br />SIGN <br />DATE <br />CH t0r I <br />
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