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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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Waste }Ks i i4- "T, , No 1125879 <br /> stems ' <br /> ROWNING-FERRIS INDUSTRIES NON-HAZAI�DOC�S SPECIAL WASTE' MANIFESI <br /> enerator Name ARCO PRODUCTS Generating Location ARCO STATION #2130 <br /> ddress F'0• Box 5811 Address 7906 N. E1 Dorado Street <br /> - San Mateo CA 94402 <br /> Stockton, CA I <br /> hone No [=—I S 7 11_2] _41 3 4 = Phone No — <br /> �r�Ir.�I <br /> BFI Waste Code t�.J "4o- 5 o 9 0 9 9 3 6 0 2 fi Z Containers Type <br /> Description of Waste Quantity Units No T e D- Drum <br /> C-Carton <br /> NON HAZARDOUS SOIL O 0 0 1 8 ❑Y � T B - Bag <br /> ❑ m ❑ T -Truck <br /> P - Pounds <br /> Y -Yards <br /> ❑ m <br /> El <br /> O-Other <br /> I hereby certify that the above named material does not contain free liquid 6s 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 and packaged;and is in proper condition for transportation according to applicable regulations <br /> k�n r\ <br /> G >� `LLJ_T.VY <br /> Generator Authorized Agent Name Signature [ r Shipment Date <br /> TRANSPORTER <br /> ruck No f Phone No (510) 634-5850 <br /> Dillard Trucking, Inc. 1004136 <br /> ransporter Name Driver Name(Print) <br /> P.O. Box 218 � er�-� <br /> Iddress Vehicle License No/State <br /> / <br /> Byron, CA 94514 Vehicle Cern <br /> hereby cern kFve named material was-picked up ereby certify that the bove named material was delivered with- <br /> t9 site listed ove out ncident the desti ation listed below <br /> a - <br /> r 5 ur Shipment Date rive n u elive ab <br /> r <br /> DESTINATION <br /> Site Name B.F.I. Vasco Rd. Landfill P.O.# 02-1A 5 Phone No <br /> iddress 4001 North Vasco Road, "verinore, CA 94550 <br /> FIf <br /> by certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> Authorized Agent Si nature Receipt Da e <br /> PASS CODE <br />' TRANSPORTER RETAIN BFI26p-72U 3193 <br />
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