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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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P
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PICCOLI
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1990
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2200 - Hazardous Waste Program
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PR0514089
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COMPLIANCE INFO_PRE 2019
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Last modified
1/5/2022 2:43:26 PM
Creation date
11/1/2018 4:24:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514089
PE
2247
FACILITY_ID
FA0003826
FACILITY_NAME
Supervalu
STREET_NUMBER
1990
Direction
N
STREET_NAME
PICCOLI
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10121001
CURRENT_STATUS
01
SITE_LOCATION
1990 N PICCOLI RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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FilePath
\MIGRATIONS\P\PICCOLI\1990\PR0514089\RTC 4_18_08 INSPECTION\RTC 4_18_08 INSPECTION.PDF
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EHD - Public
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STkA,IGVT BILL OF LADING—SHORT FOF, riginal—Not Negotiable Carrier's pro No- 56970—B <br /> RECEIVED,sudsiect to indh9duany deterni rates or contracts that have been dura upon In writing 'r.01i Shipper's Bili of Lading No.. <br /> between the comer and shipper.If api olhenwise to me fates.Classifications and rules that have <br /> been establistned by the cotter and are available to the shlppet.on request, Consignee's ReferencelPCl No. <br /> HAZ MAT TRANS. INC. F.Q.BOX 5129 SAN BERNAPDMECA 92412 Carrier's Code(SCAC) <br /> at 1990 Prccou ROAD 20 from TIWC, STOCKU:ON <br /> the propertyedescribed lbelow inNP�an�t good order,except as noted(contents and condition of contents of packages unknown),marked.Ca'aigned,and destined as Indicated beksvr,which said carrier(the word carrier being understood <br /> rough g y person or corporation In possession of iris property under the contract)agrees to carry to Its usual plpae sit delivery at said destin atlon,fl on ih route,otherwise to de ever to onorner curter as the route <br /> to said destination.If s mutually agreed as to each carrier of a1 all any of,said property over all or any portion of saki route to destination and as to each party at any time interested in all or any sold property.that everyry service to be performed <br /> he e u <br /> =9 <br /> er shat be 54b1ec1 to cd the terms and conditions of the Uniform Domestic:Straight BIt of Ladhg set forth(1)in Uniform Freight Clossificatton in effect on the date hereof,if this is a rat or a rak nater shipment,or(2)in the applicable motor <br /> carrier classiSeaHpn or;rrI if this s a motor carrier shipment. <br /> Shipper hereby certlfles that he is farri with of the terms and conditions of the said titin of loding,including those on the back thereof,set torah In the classification or tariff which governs Vie trer>sportalion of this shipment.and the said <br /> Ten and conditions are hereby agreed to by the shipper and accopted for hlmseM pnd hk owgnS. <br /> Consigned to A-E•R.C. 3Q677 HUNTki N <br /> HANARD CA (Mail or street address of consignee-For purposes of notification only,) <br /> Destination State Zip Code County <br /> Delivery Address <br /> {#ia be filled in only when shipper desires and governing tariffs provide for defiuery thereat.} <br /> Route <br /> Deliverin Carrier Car orVehitle Initials No. <br /> Packages es ub.o. t C Class Check applicable mabr or lading, <br /> n ,if ondfliorts N3 shipment is to <br /> 9 (Sud.taCar.) or Rate Ctslumn <br /> be deNvered to tine consignee without <br /> recourse on the consignor'.the consignor <br /> Bulbs shall sign the following statement.. <br /> HIDT�T''h 1 L. }1 n t The carrier shall not make delivery of this <br /> Bulbs s CJ, fry t,A ! shipment without payment o1 freight and of <br /> -- other lawful charges. <br /> I Batteries, dry,containing Potassium Hydroxide <br /> s <br /> o i <br /> (5oriat„e of cordi <br /> Freight Chagas are PRE] iD unless marked c.11i <br /> - CHC-C3(BOX IF COLLECT❑ <br /> preole rt <br /> apply <br /> in S to <br /> prepayment of the Charges on the <br /> property described hereon. <br /> 'If the shipment moves between two ports by a carrier by water, a InesI of lad st e <br /> wrhether It is'Cornices or shipper's weight.' <br /> VOTE-Where the rate is dependent onvalue shippers are required to state specifically In writing the agreed or <br /> ieciored value of the property. Area or Casser. <br /> 'he agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding A.- <br /> jabilily Limitation for loss or damage on this shipment may be applicable. See 49 U.S.C..§14706(c)(1)(A)and(B), Per <br /> (She signalise here acknowledges only the <br /> ami prepaid) <br /> Der <br /> 'The fibre boxes used for this shipment conform to the specifications set forth in the box makers certificate Changes Advanced. <br /> thereon,and all other requirements of Uniform Freight Clossmcafion.' <br /> Shipper's imprii IIAj of scam not apart of bill of lading approved by the Interstate Commerce Commission. $ <br /> Shipper,per Ham Mat 'Trans, Inc. Agent, r <br /> ems`. E24-Affice addressof shipper <br /> ?� .6F695 Rev, 3ro0 carbonless <br /> iP695.50 SETS <br />
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