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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0539434
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
11/29/2022 11:29:44 AM
Creation date
10/14/2022 11:30:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0539434
PE
2220
FACILITY_ID
FA0022540
FACILITY_NAME
O'Reilly Auto Parts #4719
STREET_NUMBER
15079
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
Rd
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
15079 S Harlan Rd
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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a <br /> i <br /> a <br /> leanEartK- <br /> Land Disposal Restriction Notification <br /> Generator Dame; O'Reilly Aura Parts#4719 EPA Number. CAL00035 X66$ <br /> Generator Address: 15079 S HARLAN RD LATHROP,CA <br /> Manifest TraeWng Numb&r: 2002511,80 LE <br /> InslrucHons <br /> Column 1: List the hr4allftt Line number or Manifest I-Ine item. <br /> Column 2; Identify all U.S-EPA hazardous Waste Codes that apply to this shipffrenl. <br /> Column 3:Choose the apprapriAe trealabildy group:Norval kstewatar(MWVV)or astewaler(WW). <br /> Column 4:Eater the appfeprirate Subcategoey(per 40 CFR MAO),tf aMicab$a,and also enter'QontaminededSoil'or'Debris'if the waste w:11 qe <br /> treated using one of the atternatiw treatment techmlcgies provided by 268.49(cis I,or 268.45-debris. <br /> Column 5:Enter the letter of the 2pprppriate paragraph from below(see Appendix 1 for other options if needed) <br /> Column 6:For F001-F005.please enter ttre Reference Numbers)located below fof the uonstiRuents in your waste stream subject to trealment- <br /> Column 7: For F030,D001-D043: Debris&Contaminaled Snit:please list the Reference Numbers l0ed In Appendix 2 for any UWertyinij Hazardous <br /> Constituents. <br /> - Check 'One _ <br /> Regulated Undertying Hazardous <br /> How Musl This Cpnstiluents <br /> Mandest Line Number U.S.SPA Hazardous Sub-Category Wave Be Constituents for 6001-D043, <br /> or Manifest Line Item Waste Ccdes f~1Ww1+ Managedl For F001-F045 Debris or Soil <br /> L4Y�! ' <br /> 1 -100663 : D001 Yes �righ TOC Ignitable A <br /> Liquid <br /> Column 5 Waste Management Codes <br /> A THIS RESTRICTED WASTE REQUIRESTREATMENT TO THE APPLICABLE STANDARD-Thiswaste must be treated to <br /> Vie applic able per#ormarwA based treatment standard set forth in 4UC FF PM 268 Subpart G_266.32,Subpart O,268.40 or <br /> RCRA SeCtk)n 3t704(d)Prior to land disp4 at. <br /> Column 6 F001-F4135 Reference Nurnbers <br /> Column 7 DMA-4043 Ref erenr-e Numbers <br /> I hereby certify that 211 information subscribed at ' and ah associated dxuments ks corrple a and accurate to The bust of my knowledge drrd <br /> information. <br /> Generator Signature' Title; <br /> Printed Name; i Date; l <br /> I <br /> I <br /> I <br /> 1 <br /> I <br /> a <br /> 1 <br /> i <br /> I <br /> 3 <br /> 1 <br /> t <br />
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