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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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WaMe . b �Yr.i , No 1125866 <br /> Systems <br /> BROWNING-FERIIISINDUSTRIES : 1: NON, ,HAZARDOUS -SPECIALrWASTE MANIFES <br /> Generator Name ~ARCO PRODUCTS Generating Location ARCO STATION #2130 <br /> w <br /> Address`F-DSax 5811 Address 7906 N. El Dorado 5tregt <br /> _ Sat," Mateo, CA - 94402 Stockton CA <br /> Phone No k 1 51 S 1 T f 2 4 3 4 Phone No �— <br /> BFI Waste Code 1 0 1 9 0 1 9 1 9 1 3 1 0 2 0 2 1 Containers Type <br />' <br /> Description of Waste Quantity Units No Type D-Drum <br /> rn C-Carton <br /> NON HAZARDOUS SOIL 0 0 0 f 8 aT B - Bag <br />' F-1 ❑ T -Truck <br /> P -Pounds <br /> Y-Yards <br /> ❑ (` 11O-Other <br /> # hereby certify that the above named material does not contain free liquid-as defined by 40 CFR Part 26010 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 /> 1 'IeR • <br /> or AuthorizedAgent Name - lgnaturQ r1- , _ ���� Shipment Date <br /> TRANSPORTER <br /> truck No _._ = _.._ Phone <br /> Transporter Name <br /> Trans Dillard Trucking. Xnc. 1004/36 <br /> P Driver Name(Print) l <br /> Ldress f'•O. Sox 218 <br /> _ Vehicle License No/Stat l/- l <br /> Byron. CA 94514 Vehicle Certification _f!i6az 66d <br /> hereby certify that the above named material was picked up I hereby cent that the above named material was delivered <br /> fY with- <br /> at the generat site listed above out incide to the destination fisted below <br /> r! <br /> D g t e Shipment Date ver ,at Delivery Date <br /> DESTINATION <br /> ite Name R.F.I. Vasco Rd. Landfill P.O.# 02-10055 1 <br /> Phone No <br /> Address 4001 North Vasco Road, Livermore, Cc, 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 /> ame of Authorized A enl Signature Recei t D <br />' PASS CODE <br /> BF1260 720 3N <br /> ""���1fr1/'11"17r1'1 rrTt ra r <br />
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