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COWAWQJL0 (2)
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2500 – Emergency Response Program
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COWAWQJL0 (2)
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Last modified
3/23/2022 4:12:03 PM
Creation date
3/23/2022 4:03:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COWAWQJL0
PE
2546
STREET_NUMBER
1295
Direction
W
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
NEAR 24534044
ENTERED_DATE
5/17/2021 12:00:00 AM
SITE_LOCATION
1295 W COLONY RD
RECEIVED_DATE
5/13/2021 12:00:00 AM
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
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EHD - Public
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J4 GENERATOR NON-HAZARDOUS I. Genull°r ID Nu*. 2. Pop I of 3. Ea°, Resxree Phora 4. Wail main Numbs' <br />WASTEIWIFEST CAC003 1981 1 800-2553924 05132021-C <br />& Genera:We Name and Maing Adams Grenade See Maws (d cheerer( ten rig adages) <br />City of Ripon <br />259 N Wi Avenue W Colony arwd Goodwin Drive lma <br />209-599.2108 Ripon, CA 95366 Ripon, CA 95386 <br />Generates Phone: <br />Transporter 1 Company Nam US. EPA ID Nuieer <br />Independence Environmental SeMces, LLC <br />I <br />CAR000308548 <br />rreesporter 2 Corrpany Name U.S. EPA ID Number <br />Fsolitya <br />Designated FacaRy Kerne and Sae Address U.S. EPA ID Number Yolo County Central Larxtfill <br />44090 Road 28H CAL000798887 <br />530-866-8775 Woodland, CA 95778 <br />Phone: <br />ge <br />mu <br />9s. U.S. DOT Desoiptiat (Inducing Proper Shipptg Name, Hazard Class, rip Noreba. <br />end Packing Group (tiny)) 10. Containers ii. 'r ' 12 UnIt <br />No Type Quantity WtiVol. <br />1, <br />Non-Hazardous Waste VVa ter <br />001 TT —44180 <br />5,850 <br />G <br />3. <br />13. Special Handling Instructions ard Additional Information <br />_ 'TRANSPORTER DESIGNATED FACILITY --1 1 CD <br />Please pnrit type.(Form designed lot use on Ode 12 ch <br />11 <br />1 <br />1-DESIGNATED FACILITY TO DESTINATI DN
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