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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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2073
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2200 - Hazardous Waste Program
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PR0537504
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COMPLIANCE INFO
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Entry Properties
Last modified
12/5/2018 10:43:32 AM
Creation date
10/31/2018 11:49:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537504
PE
2220
FACILITY_ID
FA0021580
STREET_NUMBER
2073
Direction
S
STREET_NAME
CENTRAL
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
APN
209.080.34
CURRENT_STATUS
01
SITE_LOCATION
2073 S CENTRAL PKWY
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CENTRAL\2073\PR0537504\COMPLIANCE INFO 2012.PDF
QuestysFileName
COMPLIANCE INFO 2012
QuestysRecordDate
11/8/2017 11:37:28 PM
QuestysRecordID
3721733
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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705922 1537402 <br /> �" Ple@se pdni aigpe.(FdIiA'Aesigd8d tl7tuseon eltte{44. ch)�pernlor). .,:,w::. Form Approved.OMB No.2050-0039 <br /> 21.Gene2tprWNumbe[ •.. .. 22.Page 7d.klmftst Tracking Number -....:: <br /> UNIFYfRMNAZARDOUStM11F$TE kANIFES7" _ _ .._ 2 _ t <br /> (ConDnuauon Sheall) ( AR000211540 o f 2 000038881DA'T <br /> 24.Gene2tofs Name <br /> SAN JOAQUIN DELTA COLLEGE <br /> 2071 SOUTH %NTRAL PARKYAY MOUNTAIN HOUSE CA 95391 12091598-9940 <br /> 25. na � a USEPA ID Numberl /vr <br /> D99Sa3 <br /> 26.Transporter_ Company Name U.S.EPA ID Number <br /> 7a: 27b:U:S:DeT-t3esngBan(mtlutlingPrape r6lnppmg Naga,Nezai46leee;I113laaber-« Contalnme,.�. .`.,29.TOW- 3a41niF T..- <br /> HM and Packing Group if any)) No, Type - Quantity WtNol. 31,VNaste—Codes <br /> 5 NA3077 HAZARDOUS YASTE, SOLID, N.O.S. IDA9IUN, CHRONIUN) 9 DODS DOD? 551 <br /> X MIT R01007.10LDS) 001 CF 010 P <br /> 6 <br /> 7 <br /> a <br /> f7 <br /> la <br /> II <br /> <e <br /> - <br /> 12 <br /> ) <br /> 13 <br /> 142E Ist Ge V1 of No <br /> a rr hos th3 apP priate Ferffil 5) . <br /> .h <br /> : ,.,f. 32speaal Handknglnwctiam.ndAddi6onMnfdmlahon (5) SSIOOO-00 - ER61171T-1191E.10LIDS •-' I L9.46,1JEU-M WaSEe <br /> 9` 51 56nL, this generator is shipping. j <br /> 01 <br /> L.,. <br /> 33Frian-sponal .Agawed.Y tof :'`ot MaEeaab - - <br /> ayped Name' Signature _ Month D� Year <br /> �" rviv� �Z�vin� �. � <br /> Z 34.Transporter Admoaledgmentof Receipt of Materials <br /> Prtntedrryped Name Signature Month Day Year <br /> 35.Discrepancy <br /> U <br /> C] <br /> W <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,codes far hazardous waste treatment disposal,and recycling systems) <br /> SZ <br /> 51 <br /> h <br /> w <br /> 0 <br /> .E: EPA Form&700-22A(Rev.3-05) Previbua,edloans are obsolete. .. DESIGNATED FACILITYT.OGENERATOR <br /> yJ <br />
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