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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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2200 - Hazardous Waste Program
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PR0531054
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COMPLIANCE INFO PRE 2019
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Entry Properties
Last modified
4/15/2019 11:30:11 AM
Creation date
4/15/2019 10:34:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0531054
PE
2220
FACILITY_ID
FA0009239
FACILITY_NAME
ARROW SIGN CO
STREET_NUMBER
3133
Direction
N
STREET_NAME
AD ART
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710073
CURRENT_STATUS
01
SITE_LOCATION
3133 N AD ART RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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State of California—Environmental Protection Agency See Instructions on back of ps_a�6. Department of Toxic Substances Control <br /> Form Approved''OMB No.2050-0039(Expires 9-30-99) Sacramento,California <br /> Please print or typeform designed for use on elite(12-pitch)typewriter. <br /> 1. Generator's US EPA IID No. Manifest Docu mart No. 2. Page 1 Information a the shaded areas <br /> UNIFORM HAZARDOUS is not required by Federal law. <br /> WASTE MANIFEST C A L D D 0 2 7 5 3 3 1 D 4 0 0 2 of 1 <br /> A. $tate Manifest Document Number 22702133 <br /> 3. Generator's Name and Mailing Address <br /> ARROW SIGN COMPANY <br /> 3133 N.AD ART ROAD B. State Generator's ID <br /> o STOCKTON.CA 95215 <br /> LO <br /> 4. Generator's Phone( 209) 931-5522 <br /> In S. Transporter 1 Company Name <br /> 6. US EPA ID Number C. $tate Transporter's ID[Reserved.] <br /> CP ONYX ENMRONMENTAL SVCS L.L.C. N J D 0 8 0 8 3 1 3 8 9 D. Transporter's Phone (873)34 - 11 <br /> Transporter's ID[Reserved.]Trans <br /> � 7. Transporter 2 Company Name B. US EPA ID Number E. State P <br /> -3036 <br /> MP ENVIRONMENTAL SERMCES C,A T 0 0 0 8 2 4 2 4 7 F. Transporter's Phone <br /> V 10. US EPA ID Number G. State Facility's ID <br /> 9. Designated Facility Name and Site Address 1 4 O t <br /> 1J Q ONYX ENVIRONMENTAL SERMCES, <br /> ^�Z L.L.C. H. Facility' n <br /> 1125 HENSLEY STREET GAT 0 8 0 0 1 4 0 7 9 t�00� 43-2382 <br /> 0 RICHMOND CA 94801 <br /> N Q12. Containers 13. Total 14. Unit <br /> < 11. US DOT Description(including Proper Shipping Name,Hazard Class,and ID Number) No. T e Quantity Wt/Vol I. Waste Number 1 <br /> Z a. <br /> RQ,WASTE PAINT RELATED MATERIAL INCLUDING PAINT s'°'° 212 <br /> THINNING,DRYING,REMOM NG,OR REDUCING 'EPA/other <br /> 3 G COMPOUND,3,UN 1283. (D001) 0 0 1 D M 0: 0 4 0 0 P F002 <br /> State <br /> o E N 6' <br /> 0 E EPA/Other <br /> v R <br /> CN A stare <br /> C. <br /> OEPA/Other <br /> R state <br /> w d. <br /> Z EPA/Other <br /> w <br /> v <br /> w K. Handling Codes for Wastes Listed Above <br /> N .J. Additional Descriptions for Materials ListedAbove <br /> Z A)LIT PAINT SLUDGE °. 6. <br /> O <br /> a <br /> rn d. <br /> WC. <br /> aC <br /> J <br /> Q <br /> Z 15. Special Handling Instructions and Additional Information <br /> PACI4NG SUPS ATTACHED FOR CLARIFICATION-EMERGENCY NUMBER4NFOTRAC: 1-800-535-5053 <br /> Q <br /> Z <br /> W <br /> r <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurate tyi described above by proper shipping name and are classified,packed, <br /> Vmarked,and labeled,and are in all respects in proper condition far transport by highway according to applica6le internationol and national government regulations. <br /> If I am a large quantiy generator,I certify that I have a pr ram in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically <br /> N practicable and that I have selected the practicable method of treatinti storage,or disposal currently available to me which minimizes the present and future threat to human health <br /> and the environment;OR,if I am o small quanti y generator,I have made o good faith effort to minimize my waste generation and select the best waste management method that is <br /> CX available to meand t I I can off d <br /> O Signature '/ ` Month Day Year <br /> y Printed/Typed Nome / [�ol Z T 17. Transporter 1 ekn e e n!of Receipt of Materials <br /> 0R Signature Morth Day Year <br /> w jR Printed/Typed Nome 2 S Q <br /> IV <br /> LU s SIL V� <br /> u. 0 18.transporter 2 Acknowledgement of Recei t of Materials Month Day Year <br /> O A Printed/Typed Name S' tura <br /> LU E <br /> to R <br /> V19. Discrepancy Indication Space <br /> ? A 1120e -7t Trr+�vyPo r' Z was ted—ustc . <br /> na. paeaq.7 <br /> E <br /> --1 20. Facility Owner or O erator Certification of receipt of hazardous materials covered by this manifest except as noted in!tem Month Day Year <br /> T Printed/Typed Name Signature <br /> IV 16 I.C71 <br /> DO NOT WRITE BELOW THIS LINE. <br /> White! TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> DTSC 8022A(1/99) To: P.O. Box 3000, Sacramento, CA 95812 <br /> EPA 8700-22 �yL �,- <br /> .... ,�`•�"fir_`. .._..�..•.."�, �. .,1. <br />
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