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ARCHIVED REPORTS XR0001498
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHANNEL
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1649
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3500 - Local Oversight Program
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PR0544207
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ARCHIVED REPORTS XR0001498
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Entry Properties
Last modified
3/1/2019 3:23:55 PM
Creation date
3/1/2019 1:59:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001498
RECORD_ID
PR0544207
PE
3528
FACILITY_ID
FA0005237
FACILITY_NAME
N A GOTELLI TRUCKING INC
STREET_NUMBER
1649
Direction
E
STREET_NAME
CHANNEL
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15304021
CURRENT_STATUS
02
SITE_LOCATION
1649 E CHANNEL ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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, <br /> -Waste- --- B F 19--A C_:_C__t- 1-4 0- 1-I�ff,Q-13_1=2- -907979 --- <br /> Systems <br /> 907979 ---�.�-- <br /> Systems TM <br /> ROWNiNG-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> Mid Cel Leasing 1649 E _ Channel St <br /> Generator Name Generating Location <br /> p <br /> 0 Bou 55103 Stockton , Ca <br /> Fddress Address <br /> r^ck*cna <br /> 95%0y <br /> hone No E7M-11 Phone No LJ�LJ <br /> F! Waste Code � 0 9 3 2 3 7 5 Containers Type <br /> Description of Waste Quantity Units No Type D - Drum <br /> C- Carton <br /> rt� e�e 1 �anrarr#7rc -1--dScI t 8 T B - Bag <br />' ❑ L ❑ T -Truck <br /> P - Pounds <br /> Y - Yards <br /> E F-10- Other <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 descnbed, <br />' classified and packaged, and is in proper condition far�transportatlon according to applicable regulations <br /> enerator Authorized Agent Name Signature Shipment Date <br /> .S° -IR <br /> yG <br /> - Tk <br /> ruck No Phone No 716 663-9316 <br /> MP Environmental Services <br /> ransporter Name ©river Name (Pant) <--1 <br /> 1 =400 Manor tit'i-est <br /> ddress Vehicle License No/State v�. <br /> C7, � 5� i C=, ruts <br /> Vehicle Certification <br /> kereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> it the generator site listed above out incident to the destination listed below <br />?rt 5 gnat",. Shipment Date S,gnature �D.hviery <br /> I <br /> � � A <br /> Va _ uo IRr ;ted Sall itar v t_andfi 1 -! 5 1 0 — � , ? 3 i <br /> to Name Phone No <br /> Vasco Road . L, vi=rmcr- Ce, 911 550 <br /> address <br /> lereby certif% that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> Pt Authorize Agent <br /> Signature Receipt Date <br /> PASS CODE <br /> 186 13F1260 720 <br /> GENERATOR RETAIN <br />
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