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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACK TONE
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2200 - Hazardous Waste Program
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PR0538425
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
12/5/2018 11:48:46 AM
Creation date
11/1/2018 10:49:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0538425
PE
2220
FACILITY_ID
FA0010287
FACILITY_NAME
SGS Stockton - Jack Tone Road
STREET_NUMBER
7707
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
Stockton
Zip
95215
APN
18117004
CURRENT_STATUS
02
SITE_LOCATION
7707 JACK TONE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\7707\PR0538425\COMPLIANCE INFO 2014 - 2015.PDF
QuestysFileName
COMPLIANCE INFO 2014 - 2015
QuestysRecordDate
4/11/2018 10:59:27 PM
QuestysRecordID
3013541
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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F"—POI Or (Form de0grod for use on eWe 12- ) ewriter. <br /> f.GaieratorID Number Form .OMB No.2050.OM <br /> UhYFO�#A HAZARDOUS 2 Rage 1 d 3.Emergency RW-ie Phone 4 rdfsat Nrasrbsr <br /> ,^ � -72 - 002 58661 GBF <br /> Nertre and Mallkq Address 'i Ganeralor t Siee Actktee dlRersnt Aran srralllnp ad4raas) <br /> Fmw—ji <br /> re:Company Name US.EPA Number <br /> T.Twaporter 2 Corr"rry Nam® U.s.EPA @ Nrmrlxr <br /> r_ Fad*Name and Slts Address 0� „� � <br /> rer u.s.EPA ID rhan6er <br /> FUN N Ptwne. `�-1c.rs <br /> o ONO 91$aIS <br /> 9a. 8b.U.S,DDT DeacrOM Rdadng Proper ShSp N Nemo,Huard prier,ID Number, 10.Carrbi wa 11,Total 12.Unft <br /> hpd and Paddng P Y)) No, Type Quantity wt Nd. 13.wasle Codes <br /> 1. <br /> 2. <br /> 4. <br /> j <br /> f4. KIrd'Y hrstrudlont and AddbMW krr MVDDn <br /> ENVIRONMENTAL HEALS H <br /> Praf�1� DEPARTMENT <br /> i <br /> 15- GM RA ORWOPH RMS CERTIFICAMOW I hwsby dWw Ant the carrtarrts of this 0Dnsipransn4are My and aoairft described above by the proper Wpphrp r me,and are dnWW,pac aVKi, <br /> rrnriaed end la6sl#W=dad,and aro In aB respects fn proper=V15on for trarxpart accardrtg to appk"kftMdarrlarrd Mdoft gouemmerMal mpMona,ireapad shipment and 1 am to Primary <br /> Fgormr,I cKW t#Itt sirs wnlsntt of ft omsigra MA=dbrm to rhe farms of 8bk a*dnd EPA.AdmwledgmeM of Co amt <br /> I Off*first Are waab rr k*nb bm aratsrrrent IdenbTed in 40 CFR 2tt2.87(a)(if I ant a carpe quanYty gerrWor)or I am a*mg )Is true. <br /> GSWWWOftor'sPtk�dliyped Nam r Aiadh pay Year <br /> z 71 l' <br /> M t tt <br /> ly.port tD U.S. F'w from U.S. Port of entryle>dt <br /> Trarrspoafer sign ahsa(for forte on�k Dab beving U.S.: — --- - _--- — <br /> 17.7wMporhrAd;nmdsdpmmt ofRartefpt of Mebrbls <br /> Transponer I ft&WT*d Nam Signature Month cey Year <br /> P <br /> Amu I baa"° Iry VAd Day Year <br /> 18,Dbmpancy 77 <br /> IBL Dkn"ncy Ind e0on Spate ElQ-anay Ll Type ❑Residue F-1 Par&l Re c@- Fu1E Rejection <br /> Manfisel Rafera xe Number. <br /> f8b.Aternte FwRy(or Gwaerator) U.S.EPA rD Number <br /> rz Phone: <br /> 8c o'Generstx) Aiorttit Day Year <br /> 19,Hra aniout V%s*Report Management Method Codes Qs.,cocks for hamardous waste Usatment,Npoaal,and mcyc&V systema) <br /> 1. 2. T- <br /> 4. <br /> 20.Dad{pt I Fs*y or Operator:Cer@RoaWn of receipt of hoza*m mobdab wvw d by An nnttUest @=W as ndkd in item f8a <br /> taro th Day Year <br /> EPA Form 8700.72 .3-W Prevfotrs adfdior:a are obsolete. <br /> DESIGNATED FACILITY To DESTINATION STATE OF REQUIRED) <br />
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