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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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GRANT LINE
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2375
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2200 - Hazardous Waste Program
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PR0518405
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
12/17/2024 1:11:15 PM
Creation date
12/26/2018 11:02:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0518405
PE
2220
FACILITY_ID
FA0003772
FACILITY_NAME
GRANT LINE SHELL*
STREET_NUMBER
2375
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21402017
CURRENT_STATUS
01
SITE_LOCATION
2375 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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" • Yi" --EM t'X-;NCY RESP tSE, CALL X? !; 567-745-S ... <br />SHIPPING PAPER <br />Qd YX; W.mtii i�est : '761r19-�i� <br />SHIPPER <br />DELIVERY DATE <br />JOB 4128928 <br />SHIPPER / CUSTOMER <br />POINT OF CONTACT <br />011., I'R(MICT"i LIS 3l"XD--FXr/ <br />DOW W7.S'tXV <br />ADDRESS <br />PHONE# <br />1.2700 NOWIWi3Vkti:YiUi 0T(3.VEr <br />(281.)874-2.238 <br />CITY, STATE, ZIP <br />Hc'R.3:iil)ls: TX '77061 <br />CARRIER/TRANSPORTER <br />PHONE# <br />PIM -CP PltaTP <br />(800)AW-7472 <br />CONSIGNEE / FACILITY <br />POINT OF CONTACT <br />ADDRESS <br />PHONE # <br />4*0245 71M A7'� CJFM <br />(253)8'72--8030 <br />CITY, STATE, ZIP <br />WA 93032 <br />HM <br />US DOT Description (Including Proper Shipping Name,• Hazard Class, and IO;Number) <br />Containers <br />No. Type <br />Total <br />Quantity <br />U <br />4,1 0,',75 ITT 3W133) <br />C <br />D <br />Special Handling Instruction and Additional Information: <br />ai 0,10',F Lfi"k-0d FUL F1'.Li'Wq aRC10 ;Z3y S:T8: <br />237ti M GRANWAR, TIACY, CA, SHUL RHO Ifff AILLER. #U 376381K <br />� <br />I JJJ <br />Placards Provided YES NO <br />SHIPPER'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packe( <br />marked, and labeled, and are in all respects in proper condition for transport <br />by highway, vessel, and rail according to applicable international and national government regulation <br />(SHIPPER) PRINT OR TYPE NAME <br />SIGNATURE <br />MONTH <br />DAY <br />YE <br />v <br />X <br />1RIER/TRANSPORTER) PRINT OR TYPE NAME <br />SIGNATURE <br />MONTH <br />DAY <br />YE <br />i <br />(CONSIGNEE/FACILITY) PRINT OR TYPE NAME <br />SIGNATURE <br />MONTH <br />DAY <br />YE <br />X <br />X <br />SHIPPER <br />
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