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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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Waste No. 950750 f <br /> Systerrs T" NON-HAz_ARDOUb SPECIAL WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> Santa Fe Railway Compnav Jersev Island <br /> Generator Name Generating Location <br /> Address 740 East Carnegie Road Address Jersev Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. <br /> BFI Waste Code F] E] T Containers Type <br /> Description of Waste Quantity Units No. Tpepe D-Drum <br /> 0 0 0 1 8 ❑Y I T I C-Carton <br /> �J B - Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> ❑ m ❑ P-Pounds <br /> Y-Yards <br /> O Other <br /> El m <br /> 1 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 packaged, and is in proper condition for tra)r sportation according to applicable regulations. <br /> GeaerOor Audwrbmd Apert Name Signature ShOnar Date <br /> TRANSPORTER <br /> L`7x;`r->^.u.int -:r OW :a,,. . 510-634-6850 -. r. . <br /> Truck No. J Phone No. C <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) -..�, 3&46" <br /> Address R. o. sox 218 Vehicle License NoJState <br /> Byron, California 94544 OO <br /> Vehicle Certification .ims�s,c <br /> I hereby i 1tl5i e above named material was picked up I hereby t that the Above named material was delivered with- <br /> at the g rato site list d above. out i i en t to a des 'nation listed below. <br /> / / < fQ <br /> Driver Sig to Shipment Date DOer Sign a Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. L 1 <br /> 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> Name of Authorized Agent Signature Receipt Dat <br /> . PASS CODE <br /> 10/86 BR260-720 <br /> TRANSPORTER RETAIN <br />
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