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ARCHIVED REPORTS XR0003058
Environmental Health - Public
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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301
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2900 - Site Mitigation Program
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PR0508132
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ARCHIVED REPORTS XR0003058
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Entry Properties
Last modified
10/10/2018 9:00:21 AM
Creation date
10/10/2018 8:13:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003058
FileName_PostFix
XR0003058
RECORD_ID
PR0508132
PE
2957
FACILITY_ID
FA0007953
FACILITY_NAME
CHEVRON #9-5775
STREET_NUMBER
301
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04514002
CURRENT_STATUS
01
SITE_LOCATION
301 KETTLEMAN LN
P_DISTRICT
004
QC Status
Approved
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TMorelli
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EHD - Public
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- T <br />07{19/2000 15 95 4089421499 I <br />9*w,p <br />wE-GRATED wAsTESTREAN MANAGEMENT, IHC <br />&W AMES AVENUE, MILWAS GA 59035 <br />PHONE 4" M2.n5a FAX 4NAal&" <br />CERTIFICATE OF DISPOSAL <br />Generator Name Chevron Products CoTpr <br />Address 6001 Bollinger Canyon Road <br />San Ramon., CA 94583 <br />Contact Bob Cochran <br />Phone <br />925-842-9500 <br />1WM Job ;q <br />Description of Waste <br />Removal Date <br />Ticket h <br />Facility Name <br />Address <br />Facility Contact <br />Phone <br />20 Non -Hazardous <br />Water Drums <br />6/27/00 <br />PAGE 03 <br />Chevron Station #9-577 <br />301 W Kettleman <br />Lodi, CA <br />David Evans <br />916-861-0400 <br />MCK270600-CH <br />Transporter Information Des osaI Facility Information �J <br />Name IWM, Inc Name McKittrick Waste Treatment Site <br />Address 950 Ames Avenue Address 56533 Hwy 58 West <br />Milpitas, CA 95035 McKittn.ck, CA 93251 <br />Phone (408) 942-8955 Phone 661-762-7366 <br />IWM, INC. CERTIFIES THAT THE ABOVE LISTED NON -HAZARDOUS WASTE WILL BE <br />TREATED AND DISPOSED AT THE DESIGNATED FACILITY IN ACCORDANCE WITH <br />APPLICABLE FEDERAL, STATE, AND LOCAL REGULATIONS. <br />William T DeLon'`"f"� 27 June 2000 <br />Authorized Representative (Print Name and Signature) Date <br />CerrofDjsvosal Master 010600 Revised 1 Junc 2000 <br />
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