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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0220091
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COMPLIANCE INFO
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Last modified
12/5/2018 10:43:28 AM
Creation date
11/6/2018 8:38:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0220091
PE
2228
FACILITY_ID
FA0002862
FACILITY_NAME
R V CIRCUITS INC
STREET_NUMBER
916
Direction
S
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14714036
CURRENT_STATUS
02
SITE_LOCATION
916 S CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\C\CENTER\916\PR0220091\COMPLIANCE INFO\COMPLIANCE INFO.PDF
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EHD - Public
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JUN 12 196 04:28PM DANA CORP <br />Generator: <br />CERTIFICATION OF <br />`WASTE STATUS BY TdtP <br />j 0— Lm&. <br />Log * <br />P. 8/21 <br />Profile: Waste Codes: L60-L-•-`pDoK <br />Waste Description: to • IL4M P. c-,�OS w W c fL E�► :n En� <br />The waste identified by the above referenced profilen umber exhibits the following characteristic constituents as determined by <br />the TCLP method or generator kncwleCge of the waste as referenced in 40 CFR H1.241 (dated 1991). <br />Name as listed in 40 CFR Part 261 Subpart C for D004 through 0043. <br />Tne material exeecs the regulated threshold level for the following constituents as determined by the Toxic Characteristic <br />Leacn Procedure t 7 CLPI as referenced in 40 CFR 261.24(a). <br />Z Arsenic (DO0 4) <br />_ SariL"^ rnnn-. <br />.7 Benzene 100161 <br />❑ Cadmium -(000_1 <br />7 Carbon <br />Tetrachloride (0019) <br />❑ Chlordane (D020) <br />7 Chlorobenzene(D021) <br />❑ Chloroform (0022) <br />❑ Chromium (DO07) <br />❑ o•Cresol (D023) <br />❑ m -Cresol (D024) <br />❑ p•Cresof (0025) <br />❑ Cresol (0026) <br />p 2, 4.0 (0016) <br />1, a-Dicnicrooenzene 10027, <br />r ., 2-�iGniGfOet`iane �DC2�j <br />1, 1 •D�chloroelhylene (0029) <br />7 2, 4•Dinitrolofuene (DO30) <br />❑ Endrin (0012) <br />❑ Heplachlor (0031) <br />❑ Hexachlorobenzene(DO32) <br />❑ Hexachlorobutadiens (6033) <br />❑ Hexachloroethane (DO34) <br />„Lead ([3006) <br />❑ Lindacrfi(DO13) <br />❑ Mercury (DO09) <br />CERTIFICATION <br />❑ Methoxycnior (Doi 4) <br />Met. yle:`,Ike;cce =: 2;5! <br />_ ,Nitr..:.enzene (DC3F) <br />❑ Pentrachlorophenal (0037) <br />❑ Pyridine (DO38) <br />❑ Selenium (0010) <br />❑ Silver (DOS i ) <br />❑ Tetrachloroethylene t,DO391 <br />❑ 7pxaphere(DOI5) <br />❑ Trichloroethylene (D040) <br />❑ 2, 4, 5-Tricnlorophenat (DO41) <br />❑ 2, 4, 5•Trichloropheriol (0042) <br />❑ 2, 4, 5 -TP (Sifvex) (D017) <br />❑ Vinyl Chloride (0043) <br />I certify that I personally have examined and am familiar with the waste through analysis and testing or through <br />knowledge of the waste to support this certification that the waste exhibits only characteristics as marked above <br />from 40 CFR Part 261 Subpart C (as effective on 9/25/90). 1 believe that the information I am submitting is true, <br />accurate and complete. I am aware that there are signtlicant penalties far subm itting a false certification including <br />the possibility of a fine and imprisonment. <br />PrL eeY q4 <br />Print <br />sign Title <br />
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