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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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X" <br /> BILL OF LADING <br /> 535 Getty Court, Suite H <br /> Benicia, CA 94510 <br /> r.. , , tcNT l . , ,'[ces <br /> (877) 748-3040 Z,aitsrtg Ma_xiias'C. "1259:-,V3 <br /> Western z.ginv <br /> DELIVERY DATE JOB*uc_9) <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> ADDRESS PHONE# <br /> CITY,STATE,ZIP <br /> its ('a q CIL <br /> CARRIER/TRANSPORTER PHONE# <br /> .2.15$ �.•r'i• .s N. .,+}P3 i'M Y _ "877179n9-2040 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> ADDRESS PHONE# <br /> 3 677 ..)N77W C (5101429_142 <br /> CITY,STATE,ZIP <br /> GtYM USDOTDescrv,on p/ Yf0. <br /> : Ouahaty. UOM <br /> Q a,., L k°'+ic. 'sYi$ 41)d,7y'r„r.i .,L'V!tY ma pROXMI <br /> r c> EETAL) 00 `L CI 00 '70 P <br /> 8 <br /> (” 1 <br /> C <br /> 12SOB r u n <br /> Ct, nv m,1r r ;m.-C e <br /> . •."., <br /> imAr. <br /> Y � I <br /> Special Handling Instruction and Additional Information; <br /> ai HOAETUBEC-$3 - FLECBESCENT THBES (CRUSHED) - 1ECIS U <br /> `-"-m"• 024 FBONSAL4; 24 HOOD EDEBGEECY COATACT: (888) 451-8346 A-/ 9-xgprD,,6 <br /> Placards Provided YES - NO t� Emergency Phone#(877) 748-3040 <br /> SHIPPER'S CERTIFICATION:I 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 /> ( IPPER)PRINT OR TYPE NAME SI ATU IE moan, DAY YEMI <br /> x i uG— <br /> (CARRIER/TRANSPORTER)PRINT OR TYPE NAME SIGNATURE mormt oar cans <br /> X Nfl"�.eNDF(L S1avG) x �d 6F <br /> (C ONSIGNEE/FACIUTY)PRINT OR TYPE NAME SIGNATURE moms onv YE-S <br /> farm#PSC-209-RV 9/07 <br />
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