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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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t �, <br /> Wciste '�" 1 <br /> °� 1 5872 <br /> , . s wJ t S r t 51 a'►•L � X .. i 1 ♦�w:+r.�,.. . • • .�1a{�i i.. <br /> Systems TU r <br /> P,GenoratorROWNING-FERRisINDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFES <br /> NameARCO PRODUCTS Generating Location SCO sT.a'rICN X2130 <br /> _ , <br /> Address P.O. Boa,.5811 - Address 7906 N. El Dorado Street <br /> xN ry <br /> San Mateo, CA 9=402 Stockton, CA <br /> Phone No, 5 — 5 7 1 2 4 9 4 Phone No <br /> BFI Waste Code 4 0 5 0 9 0 9 9 3 6 C 2 C 2 Containers Type <br /> Desch tion of Waste Quandt Units No T e C-Drum <br /> C-Carton <br /> NON HAZARDOUS SOIL 0 0 0 1 8 1 � T� B -Bag <br /> T -Truck <br />' El L .lam ❑ P -Pound. <br /> ,Y-Yards <br /> ❑ m <br /> El <br /> O.-Other <br />' I hereby certify that the above named material does not contain free Irquictas 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 described, <br /> classified arid-packaged, and is in proper condition for transportation according to applicable regulations <br /> ��` `rte h �• �2,(CY r4.0 a.::== <br /> Generator Authorized Agent Name SEgnatu�e V"N—}�P ti ., Shipment Date <br /> TRANSPORTER- ! - - <br /> Truck No Phone No (510) 634-6850 <br /> Transporter Name Dillard Trucking. Inc. 1004/36 <br /> p N Driver Name (Print} <br /> P.O. Bax 218 Vehicle License No/State <br /> jAddress <br /> Byron. CA 94514 Vehicle Ce _ T <br /> M!! <br /> amed material was picked ap ereby�e that the bove named material was delivered w[th- <br /> � a out r cid t to he desti atlon listed below <br /> gna Shipment Dale riv S n <br /> } �f slivery Date <br /> DESTINATION <br /> Site Name S.F.I. Vasco Rd. Land�'iil P.0.0 02-9,6055 3 >J <br /> Phone No <br /> ikddress <br /> 4001 North Vasco Road, Livermore, CA 94550 <br /> " <br /> hereby certify that the above named material has been accepted and to the best of my knowle he foregoing is true and accurate <br /> e of Authonzed Agent Si nature Recei t ale <br /> PASS CODE <br /> 8F4284 720 W_ TRANSPORTER RETAIN <br />
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