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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
Supplemental fields
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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This Shipping Order must be legibly filled in,in ink,in Indelible Pencil,or In carbon,arw retailuy❑a,„grrr Q111l <br /> �z_Mat Tr,-:u3s T-ale P, 129, gaa Reef:-Jing r MA, Carrier's No. <br /> 4q Name of Carrier <br /> RECEIVE,subill to the classifications and]awfully filed . a in effect on r the date of the issue of this Shipping Order, <br /> ed-Jr, <br /> at 1 99'} Piccall ?2d. 5�-_ockto . 20 From U;,i f.r <br /> the property described below.in apparent good order,except as noted(contents <br /> and condition coOf roes <br /> contents <br /> carry to9Ss usues k I place of de ry atconsigsae pest]atined and ondestined anas�its'mute,below,which <br /> to delveratoaanother carrier on r(the word cir r the mute torsadddestination.It <br /> centract as meaning any person or corporation in possession of the property 9 <br /> Ct to all <br /> mutually agreed,as to each carrier of all or any of said Property aver all or any portion of said route to destinater.and as to each party at any time inter in all or any of said property,that every sarvKcableO 10 motor carrier POtOnmed cclassification ereunder aorll btariff bI this is a <br /> the terms and conditions of the Uniform Domestic Straight Bill of Lading set forth(1)in Unlorm Freight Classilical en in effect on the data hereof,if this is a rail or a rail-water shipment,or(2)in the app <br /> motor Canterip per he <br /> Shipper he certifies that he la familiar with all the terms and conditions or the veld 4ei of lading,set forth in the deasillcaton or tariff which govema the transportation of this shipment,and the said Lerma and conditions are <br /> hereby agreed to by the shipper and accepted for himself and his assigns. <br /> Consigned to ed or street address of consignee—Far purposes of notification Only.) <br /> n TA De�irrery <br /> Destination 30r,77 Hunt'v ` -742— State ' Zip �� County '�� Address* <br /> "To bre filled In only when shipper deeirea and goveming terilfs provide for delivery thereof. <br /> Route Ila, ^ <br /> Delivering Carrier Car or Vehicle Initials No. <br /> NO. HAZARDOUS WEIGHT CLASS Subject to Section 7 of conditions of <br /> DESCRIPTION OF ARTICLES,SPECIAL MARKS AND EXCEPTIONS SUBJECT TO CORK. OR RATE applicabre big of lading, If this <br /> PACKAGES MATERIALS shipment it m be delivered n the <br /> _ ^!ir L consigner without recourse on the <br /> T+fJT vry[1TY3 R :"1 n�J Ct IL'Lli1/1 <br /> consignor,ri,! elf consignor shell sign the <br /> i'r LJSJ'1f.:r:71...?=n.4 S 3 tollpn atr shall . <br /> The carrter shall not maks detivery of <br /> this shipment wiehout payment of <br /> lrcr ht antl ell other lawful charges. <br /> Pe <br /> (Signature of Consignor) <br /> N charges are to be preppeeW,write or <br /> stamp here,"To be Pre-peid." <br /> J 1fY�. <br /> Received S <br /> to apply In prepayment of the charges <br /> on the property described hereon. <br /> Agent or Cashier. <br /> Per <br /> (The signature hem acknowledges <br /> - only the amounts prepa.d.) <br /> Charges advanced: <br /> SHIPPERS CERTIFICATION:This is to certify that the above-named I „� <br /> malenals are properly classified,described,packaged,marked and SIGNATURE TITLE s <br /> labeled,and are in proper condition for transpon:pl rn according to the <br /> applicable regulations of the Department of 7ransponatlon. C.O.D.SHIPMENT <br /> It the shipment moves between two ports by a carrier by water,the law requires that the bill of lading shat.state whether it is'carriers's or sNppees weight." <br /> "Shipper's Imprints in lieu of stamp;not 8 part of Bill of Lading approved by the Interstate Commerce Commission. <br /> Note-Where the rate is dependent on value,shippens are required to state specifically in writing the agreed or declared value of the property. C.O.D.Amt <br /> The agreed or declared Value of the property is hereby specifically stated by the shipper to be hot exceeding <br /> Collection Fee <br /> THIS SHIPMENT IS CORRECTLY DESCRIBED. "'The fibre boxes used for this shipment conform to the spec- Total Charges <br /> ifications Set forth in the box makers certificate thereon,and all Shipper <br /> COR ECT WEtGHT IS LgS, other requirements of the Consolidated Freight Classification, Per <br /> Shipper, Per Haz TQ;Rf'n t a Vel ng s Shipping <br /> i nd t s' the.A of Lading. <br /> Permanent post office address of shipper <br />
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