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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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No 1125867 <br /> Waste _ <br /> Systems TM <br /> OWNING.-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFES- <br /> Generator Name ARCO PRODUCTS Generating Location ARCO STATION #2130 <br /> 'Address P-O- Box 5811 Address. 7906 N. E1 Do ado Street <br /> San Mateo, CA 94402 Stockton CA <br /> Phone No 4 1 1 1 5 — 3 7 1 1 t 2 4 1 3 1 :+ Phone No <br /> BFI Waste Code 4 0 S 0 1 9 1 0 1 9 9 3 6 0 2 1 0 2 Containers TYP$ <br /> ' <br /> Description of Waste Quanti Units No MT <br /> D-Drum <br /> C -Carton <br /> Q 0 0 1 8 8 -Bag <br /> N04V HAZARDOUS SOIL T -Truck <br /> ❑ L___�.J ❑ P -Pound- <br /> L�-J Y -Yards <br /> 1:1 <br /> ❑ I—,• i l ElO-Other <br /> _====� <br /> F 1 hereby cert) that the above named material does not contain free liquid as defined by 40 CFR Part 26010 or any applicable <br /> certify <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 /> - - - RzD � 1 <br /> gWwrized Agent Name signature,, ,�; Shipment Date <br /> TRANSPORTER <br /> ' Truck No. <br /> Phone No (510) 634-6850 <br /> _ Dillard Trucking, Inc. 1004/36 Driver Name Pnnt - <br /> Transporter Name <br /> ,I -,,P.O. Box 218 Vehicle License No/State �� 4 s <br /> Byron, CA 94514 Vehicle Certification '/ 0 / 7 � O <br /> ': <br /> I hereby certify that the above named material was picked up I hereby certify that the above named matenal was delivered watt <br /> at the ge orator site a bove out incl nt to the de (nation listed below <br /> river Signature Shipment Date rover Signa ure Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Rd. Landl"111 P.O.# 02-10055 Phone No <br /> Address <br /> 4001 Nort:i. 'Vasco Road, Livermore, CA 94550 <br /> I hereby certify that the above named material has been accepted and to the best of my knawi ~ faregotng is true and accurate <br /> Name of Authorized Neal <br /> Signature Races t De <br /> i <br /> PASS CODE <br /> BR260-72( <br /> TQAf,1Ct711C?T�R t�GTAIAI <br />
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