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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0514414
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COMPLIANCE INFO_PRE 2019
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Last modified
5/30/2019 9:21:37 AM
Creation date
11/6/2018 8:37:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514414
PE
2220
FACILITY_ID
FA0010779
FACILITY_NAME
BNSF - ORWOOD BRIDGE
STREET_NUMBER
3000
Direction
S
STREET_NAME
BACON ISLAND
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
12905053
CURRENT_STATUS
02
SITE_LOCATION
3000 S BACON ISLAND RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\B\BACON ISLAND\3000\PR0514414\COMPLIANCE INFO\COMPLIANCE INFO.PDF
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EHD - Public
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8 <br /> Waste No. 951226 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Santa Fe Railway Company Jersey Island's <br /> Generator Name Generating Location <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 ET <br /> Phone No. PhoneeNNo..iET—TLJI <br /> BFI Waste Code FJ`F M P T SII Containers Type <br /> Description of Waste QuantityUnits No. Type D-Drum <br /> u <br /> 0 0 0 2 0 Y❑ 0 C CCarton B .-sag <br /> CONSTRUCTION DWO LUMBER L�L.J�I�LJ m T -Truck <br /> P -Pounds <br /> r Y-Yards <br /> m � O-Other <br /> hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packagedd, and is in proper condition for transportation according to applicable regulations. <br /> Generator lwthorizad Agen Name Si6naturd e Shipment Data <br /> TRANSPORTER <br /> 3 C7510-634-6850 <br /> Truck No Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) <br /> Address P. 0. Box 218 Vehicle License No./State y �o QZ .3y, C4 <br /> Byron, California 94544 <br /> Vehicle Certification <br /> 1 hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator site listed above. out incident to the destination listed below. <br /> 6M _ wl1l Z 9 3 <br /> DOM Signature Shipment Dale or, r Ignature Delivery DW <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 1 0 — 4 4 7 0 4 9 1 <br /> 4001 North Vasco Rd.,., Livermore, Ca. 94550 <br /> Address <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> ,me of Authorized Agent Signature T� lecebl Date <br /> PASS QQDE <br /> 0/86 .Ti <br /> BFI280-720 <br /> TRANSPORTER RETAIN <br />
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