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ARCHIVED REPORTS XR0009917
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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EL DORADO
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7906
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2900 - Site Mitigation Program
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PR0540858
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ARCHIVED REPORTS XR0009917
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Entry Properties
Last modified
8/1/2019 1:46:38 PM
Creation date
8/1/2019 10:26:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009917
RECORD_ID
PR0540858
PE
2960
FACILITY_ID
FA0023360
FACILITY_NAME
ARCO SERVICE STATION #2130
STREET_NUMBER
7906
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
7906 N EL DORADO ST
QC Status
Approved
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EHD - Public
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K1�Vaste Na <br /> 1� 1125868 <br /> r S`I Mems <br /> Y'IBFRWI@ihG RRISINDUSTRIES �� � - NON-HAZARDOUS SPECIAL WASTE MANIFES <br /> i • - <br /> Generator Name ARCO,PRODUCTS Generating Location ARCO STA:TIO: #2130 <br /> IAddress p•O= Box -5811 -- _ - Address 7906 N. E1 Dorado Street <br /> - 'San Mateo;; CA 94402 , - <br /> Stoc.cton CA <br /> Phone No 4 ; �" '— -5 1 7 1 `2 -4 3 4 Phone No <br /> =—I. <br /> BFj WL4 0aste Code ) S a 9 0 g 9 3 6 fl 2 z3 2 Containers Type <br /> f r Descn tion of Waste QuantitUnits No T e D-Drum <br /> N <br /> C-Carton <br /> NOD; HAZARDOUS SOIL 0 0 0 1 8 Y EL':K] B- Bag <br /> T -Truck <br /> P- Pounds <br /> F7 i <br /> Y-Yards <br /> iz Elm El 0-Other I hereby certify that the 9bove named matenal does"'not contain free liquid-as defined by 40 CFR Part 260 1100 or any applicable <br /> state law. is notithazardous waste as defined by 40 CFR Part 261 or any applicable state lardy,-has been properly described, <br /> -` ciassified`and packaged,-and is in proper condition-for transportation according to applicable regulations <br /> Generator A orized Agent Dame ,. Stgnature Shipment Date <br /> TRANSPORTER <br /> Effw � : <br /> _ s (510) 634-=b8 k_ <br /> ruc�C No -- --:.-,» -� -_ - _,' �,=yam f� �. Phone No - "" - - <br /> _ Transporter Name Di1l�ird'Trucking, tic:`` IE1© 1'36 paver fef4ine (Print) <br /> - <br />�„�d P.O. <br /> aca, 28 <br /> Vehicle License No(State - <br /> _- --- ----ByrQni:-GA-- 44514- <br /> ! - - Vehicle Certification <br /> �* ------ j-'�.y...-.w.,....L.�.. ' .-...yam._�_ ,- ..L ♦ , _ i <br /> h i that�t a ve riambd material was pl 't� I hereby certify`t a bove named matenal was delivered with- <br /> # gonerato Ite fisted ovA'•a - a x ` out Incl i e de nation listed below:ti <br /> f <br />"47re f ! all, S ipmen:Date Driv I nature <br /> _ 9 t �� � � �elrve Date <br /> DESTINATION <br /> Site Name �B' . Vasco Rd. Landfill P.O.# 0 - 0,5 <br /> Phone No Iddress 4001 North Vasco Road, Livermore, CA 94550 , <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> of Authonzed ent S nature <br /> Receipt Date <br /> PASS CODE <br /> BFI260 720 319 <br /> TRANSPORTER RETAIN <br />
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