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COMPLIANCE INFO PRE 2019
Environmental Health - Public
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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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State of California—Envinmermlal Protection AgencyIfo J a <br /> Form Approved OMB No.2050-0039 lExpires 9-30-99f See Instructions on back o�e 6. Deportment of Toxic Substances Conn <br /> Please print or fype. Form designed for use on elite(J2-pitchoriler. 709472 Sacramento,California <br /> 1. Gainmolor',US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas <br /> UNIFORM HAZARDOUS is nm required by Federal low. <br /> WASTE MANIFEST 5L9 6 2 5 <br /> 3. Generator's Name and Mailing Address A. State Manifest Document Number 25134620 <br /> HONE DEPOT #HD5576 HOME DEPOT C/O 3E <br /> 0 701 D'ARCY PARKWAY 1905 ASTON AVENUE #1 B. State Generator',ID <br /> srhi <br /> A. Ga OP, .CA 95330 CART SBAD CA 92008 <br /> n <br /> N 5, Tromparterl Company Name 6. U$EPA ID Number C Sfata Tramporter's ID IRaserved.f <br /> N <br /> ca D. Tmnsporte/s Phone <br /> g 21st Cl2TLlktY >1ii C R 010101 116141421111 1877)748-3M <br /> 7. Transporter 2 Company Name S. US EPA 10 Number E. Slate Transporter's 10[Reserve .1 <br /> ON a A1C reSS j D 0 l) D i-fi F. Tronspo er'n Phone <br /> CD V 9, Designated Facility Name and Site Address 10. US EPA ID Number G. $Iola Faciliys ID <br /> �g HURLINGrmN EW43RONMENTAL, INC. KENT <br /> M 20245 77TH AVENUE SOVISI H. Facility's Phone <br /> �—�ss- <br /> O KENT WA 98032 IgAI091911121811 716171 (25 1 87 <br /> Q12. Containers 13. Total IA. Unit <br /> U 11. US.DOT Description(including Proper Shipping Name,Hazard Class,and ID Number) No. —Type Quantity WI/Vol I. Waste Number <br /> State <br /> = X a WASTE AEROSOLS, FLAIRULE, A.D.S. (1BTHYL ETHYL KETONE, BARI011 331 <br /> 3 G 2.1 011951 LTD QYY ERG026) O t p EPA/Other D001 <br /> N E b. /Jw slate <br /> N X BASTE PAINT MATED 1A4EHIAL 3 UN1263 PGII ERG(128) C��r) 331 <br /> w E P EPA/Other 11001 <br /> vR 61 n3 niLf[3 <br /> N <br /> Q A Slate <br /> J6 T <br /> 0O <br /> �Y State <br /> V JZ X <br /> J. BASTE CORROSIVE LIQUID, BASIC, INORGANIC, A.O.S. (SODIOI 122 <br /> \v HYDROXIDE, POTASSIUM HYDROXIDE) 8 013266 PGII ERG(154) Z D F p EPA/01h., DW2 <br /> J. Ad ionol Des tlo s for renals Listed Above K. Handling Codes for Wastes listed Above <br /> Z a) M82.1-�1°Di <br /> D 35 - AEROSOLS - INC12 (1) h) HOXE3-11 D135 - PLAIIABLE b. <br /> O LOOSEPACK - AP11 AF16 INC14 (2) c) HOMEPEST-11 - PERYILIXBBS KITH PESTICIDES 0 <br /> cic <br /> LOOSEPACI - INCH (3) d) ROXEIB-01 ASC2 - ALKALINE/CORROSIVE LOOSEPACX INC14 a. d. <br /> a (4) <br /> O 15. Special Handling Instructions and Additional Information <br /> VIJI{12 S <br /> Z PROPOSAL#: 52465 24 HOUR SIIRGENCT CONTACT: (811) 1151-83116 Ja i <br /> vcjIG ss(2 <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the coolants of this consignment are fully and accuratelyy described above by proper shipping name and are classified,packed, <br /> Umarked,and labeled,and are in all respects in proper condition For transport by highway according to opplica6le imemotional and national government regulations. <br /> IF I am o large quantity generator,I certify that have a program in place 10 reduce the volume and toxicity of waste generated to the degree I have determined to 6e ecanomica y <br /> a practicable and that I s,selected the practicable method o treatment,storage,or disposal curre vailable to me which minimizes the present and Future threat to human health <br /> and the environment;OR,if I am a smaquantify generator,I hove made a good faith effort to i 'm'ze my waste generation an select the best waste management method that is <br /> w available to me and that I can afford. <br /> O} Prin d/Typed Name Signature Month Day Yeor <br /> zIF <br /> t� <br /> w f 17. Transporter 1 Acknowledgement of Receipt of Materials <br /> cw p Printed/Typed Name(//.�`� SW9n month Day l Year <br /> y<j 5 • Vfj R.Alj r.J P <br /> D 18. Trans oder 2 Acknowled emenl of Recei t of Materials Prntetypeome -r[ SMon16 Day Year <br /> 7 <br /> Cis a <br /> U19. Discrepancy Indication Space <br /> Z F <br /> — A <br /> C <br /> 20. Facili Owner or Operator Certification of recei t of hazardous materials covered b this manifest except as noted in Item 19. <br /> T Printed1Typed Nanta Signature Month Day Year <br /> Yo 6 <br /> r <br /> DO NOT WRITE BELOW THIS LINE. <br /> While: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> DTSC 8022A 11/991 To: P.O. Box 3000, Sacramento, CA 95812 <br /> EPA 8700-22 <br />
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