My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_PRE 2019
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
J
>
JACK TONE
>
8372
>
2200 - Hazardous Waste Program
>
PR0539709
>
COMPLIANCE INFO_PRE 2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/6/2018 1:21:55 PM
Creation date
11/6/2018 8:39:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0539709
PE
2220
FACILITY_ID
FA0017952
FACILITY_NAME
PACIFIC SOUTHWEST IRRIGATION CORP
STREET_NUMBER
8372
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18308005
CURRENT_STATUS
01
SITE_LOCATION
8372 S JACK TONE RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\J\JACK TONE\8372\PR0539709\COMPLIANCE INFO .PDF
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
381
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
;Lease print or.type.(Form.designed for:use on elfle(12-tellaklypewdler.) ' <br /> UNIFORMNAZARDOUS 4.Generator ID Number ., F9fmApprnved.OMBNo.2050.0039 <br /> 2.P gel of 3.EmergencyResponse Phone 4.Manifest Tracking Number ' <br /> I '15TE MANIFEST'• CRE1XlL"s{'%Jira :v., r,u-:_1;. � � -.0'. +q^r;//�H((r 35237 <br /> .•e.rp��ry/�+q� JJ <br /> r)( <br /> sera Dl's Name and MaigngAddmss <br /> a^�A1��tF;IQ.eT.pLA1i IiJe T.=:'riTYhi?iff6P1, Gcnemlol's 81leACKI s(Ifdllarem than malting address) <br /> Genemicds Phone: . ^°*r'•i5"U-Cdx''I. .. .. . <br /> 6-Temspoderi CompzdyName _ <br /> LUY7t,7,lDG- , . .. U.SEPAIDNumber ' <br /> 7.Transporter 2 Company Name <br /> U.S.EPAIDNumber - <br /> r'fi;Designeled:Fadltiy Naptea�d;�jlg/4ddress <br /> EPAIDNumber <br /> • Facgilp+s Phone: <br /> 9a... .9b:u,S.00TDescdpBonOndudilg PmperShlppingName,HaaardGass,IDNu,nber, , <br /> ){hj` grid Packing'Gioep(Wany)) 40.Conlainers , ii.Tolel 12.Unit <br /> `,.l>4', z No, Type Qusei WINoI. 13.Waste Codes <br /> li'tltu'1° <br /> t P <br /> eu.lulfrw34..1.i;UtC- •:;GCG4 Gi:*FRf 07C�t ' }leapt :I ..I �.-• <br /> 21.5• I <br /> r <br /> ae <br /> GNU RON . EN <br /> � fial•I�agdling <br /> \\•::.[r..#'s�a.r.•.:.-3'-Insl)uc.t.64.o,. and <br /> Addidonal l rormallonu DIE - . yP�rigO6i a+rffYs,R <br /> -:• <br /> ... <br /> �acrac"7'� Gzc•/ <br /> Z. GENERATOR'SfOFFEROR'SCERTIFfCATION:lherebydeitzre Oiat iheconlenis dflkiscensigIII are fully and accumlelydescrihedabove by theprapershippirg mome,aI dassified,;packaged, <br /> marked and Iabeledlplaorded,andare in a0 respects in proper ondlion formnspodaccarding(o applicable inlemagenaiand na6ona!g,6"mmenlal reguWBuns..Ifexpadsidpmenlandlsm.lhePrimary <br /> fapader,'I cediWhablhecehlenls"af isconsignmenlconlemitolbelemsoflheagached EPAAdmotdedgmmtofGonsenL ' <br /> :.Gceilifythal•Ihawasle min lea slatemen-idenlived is 40 CER262:27(a)(iff-am'a largo quamIlygeneralo m(b)-ifl-am a small quan0lygdnemlt We.--,-----: -•';–,--------_..-__—,_._.._._ <br /> Geheralii'S/Ogeici'e pdnled(1`yped Name' no Is <br /> ..,•.1 I:;y. :. . .n•. :"�'t!C.=\ ..1�%""..'.. Moplh' :�y "�eaf <br /> 16,)nlemaOonMSMpmenis .. <br /> . .•... .:.� : .. .. . ❑Impod to U.S. - •. : <br /> .E3Expodfrom U.S. PodafenlryfeziL• <br /> J •t <br /> Transpodersignalure(fereXpods only): Date leaving U.S.: <br /> iZTmnspaderAcknovdedgmen,o,R.elplofMatedals <br /> TmnspbrlerfiRdnl'8fryped Mme.. . .. Si nature l r f,r:.l <br /> 9 <br /> f fff/ <br /> Trpnspode�2 Pdnied/fyped Name f „ <br /> .. : Signature tdonlh Day .Yearear <br /> ' <br /> .. .. . Y'. I <br /> iBa.Dl:cropancylndicegon Sp ace - <br /> El DdahGIY, DTYPe' OResidue - Pact lon ! <br /> . _•OFuIINejeetion - <br /> Maoilesl Rererenee Numher. <br /> t8b-Allemate FaUll (erGed mtoi) ' . ...... , <br /> - <br /> Ific.Signzlure afAllemale Facgity(er Generale:)' - i <br /> .. : .. Mond, Day Year. <br /> s Waste Report anagemenl Method des III odes for humdous}vasle lreatniml,disposal,and recyctingsyslems) / <br /> 2. 3, 4 <br /> ).Oeslgnafed Fad..O...... Operale,:Cedifica0on afrecelplafhaeardous malenus covered by111e manifest III asddedin item ills i ! <br /> inledlrypetl Name Si nature <br /> g . .• Month Day Year . <br /> I r <br /> ....,Dunn nn rn_..•,nn :�•' � <br />
The URL can be used to link to this page
Your browser does not support the video tag.