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COMPLIANCE INFO PRE 2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0527320
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COMPLIANCE INFO PRE 2019
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Entry Properties
Last modified
12/12/2024 12:55:21 PM
Creation date
10/31/2018 3:30:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0527320
PE
2220
FACILITY_ID
FA0015755
FACILITY_NAME
Antonini Enterprises LLC
STREET_NUMBER
701
STREET_NAME
DARCY
STREET_TYPE
PKWY
City
Lathrop
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
701 DARCY PKWY
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\dsedra
Supplemental fields
FilePath
\MIGRATIONS\D\D ARCY\701\PR0527320\COMPLIANCE INFO PRE 2015.PDF
QuestysFileName
COMPLIANCE INFO PRE 2015
QuestysRecordDate
11/9/2016 10:48:01 PM
QuestysRecordID
3254579
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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BILL OF LADING <br /> 535 Getty Court, Suite H <br /> ENVIRONMENTAL SERVICES Benicia, CA 94510 <br /> CROUP (877) 748-3040 Lading Manifest: 47922-08 <br /> Western Region <br /> DELIVERY DATE JOB# <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> HOME DEPOT #HD5576 MANAGER ON DUTY <br /> ADDRESS PHONE# <br /> 01 D ARCM PARKWAY (299)858-•5513 <br /> CITY,STATE,ZIP <br /> LATHROP CA 95330 <br /> CARRIER/TRANSPORTER PHONE# <br /> 21st CENTURY EMI (877)748-3040 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> AER2C <br /> ADDRESS PHONE# <br /> 30677 HUNTWOOD AVE (510)429-1129 <br /> CITY,STATE,ZIP <br /> HAYWARD CA 94544 <br /> HM US DOT Description:(Including Proper Shipping Name,Hazard Class,and ID Number) +5, ,' Containers. Total <br /> r' No Type Quantity. UONI <br /> A T <br /> INCIDENTAL) f)d� CF <br /> B J <br /> rr <br /> C <br /> X <br /> NS <br /> D x J <br /> 4 i <br /> Special Handling Instruction and Additional Information: <br /> a) HOKETUDEC-83 - FLUORESCENT TUBES (CRUSHED( - REC45 <br /> m <br /> PAST&--RHE-24 PROPOSALI: 24 HOUR EEERGENCY CONTACT: (8E0) 451-8346 <br /> Placards Provided YES NO ✓ �c2sfFr 0,)r Emergency Phone#(877) 748.3040 <br /> SHIPPER'S CERTIFICATION:1 hereby declared that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed, <br /> marked and labeled and are in all respects in proper condition for transport by highway,vessel,and rail according to applicable international and national government regulations. <br /> (SHIPPER)PPI R TYPE NAME SIGNATUREMONTH MY veaa <br /> x ¢j ,von/F_S x <br /> (CARRIER/TRANSPORTER)PRINT OR TYPE NAME SIGNATURE MONTH MY YenA <br /> x Sl�C>s x <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE MONTH MY vsnH <br /> Ix x <br /> Form#PSC-209-RV 9/07 <br />
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