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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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i6SvaStE' No 11258 73 <br /> n-� - <br /> OWINOIjsIRIEs ' iU1V � RDlS sTIM <br /> SPECiAL'WASTE MANIFES <br /> :101AM-11 • . <br /> [Generator Name ARCO PRODUCTS Generating Location ARCO SMATZ0\T X2130 <br /> Address P-a• Rox 5821 -- _ Address <br /> Sari Mateo, CA 34402 _ - Stockton, CA - <br /> ' Phone No 4 I 5 — 5 7 1 2 4 3 4 Phone No <br /> BFI Waste Code 4, 1 0 1 5 1 [;1; 1 0 9 9 3 16 - 10 2 0 2 Containers Type <br /> w <br /> Description of Waste Quantit Units dNo T e D- Drum <br /> � I"""mo C-Carton <br /> I n I� I <br /> NON' HAZARDOUS SOIL µ B - Bag T -Truck <br /> FT F 1:11�-1 ❑ P - Pound <br /> } Y -Yards <br /> 1:1m O-Other- IF <br /> 1-hereby certify that the above named material iddes-not contain free liquid as defined by 40 CFR Part 260 10 or any applicable <br /> state`law, is not a hi4ardous waste as defined by':'-40 CFR Part 261 .*r-any applicable state law, has been properly described, <br /> 4 Classified and packaged,and is in proper-condition for transportation according to applicable regulations <br /> 9 I G- <br /> .�th�ed <br /> TRANSPORTER <br /> ' i� �._�}"`-'�•:,s x`m,�,,.-.i.� .� L'x� •"' ,�.ra'+,�'�" �.�-4�",}`��.7.`a ''a' ' ��'�'-t :.moi-i .;'� .r".'�" - w-.:....,......._ <br /> Truck:NQ `- 510) 834-6853 <br /> r � � <br /> r <br /> Transporter Name-+=Ll.ard Trucking,,_Ziac._ 1044!36'" - -%rWer Na _(Print) <br /> 4 <br /> �r.a:`BOX 218 <br /> Addrer <br /> ss Vehicle ilaense No/State <br /> Byrom, CA 94514 Vehicle Certification <br /> 1 thereby certify-that the above-named material was picked up 1-hereby-certify-that the above named material was delivered with <br /> at the generator sli 'listed above �_?_ �; _ _ w out inccidentto the destination=listed below <br /> Ddvet s - - Shipment Date tJ Delivery Date <br /> DESTINATION <br /> Site Name- B.F.I. Vasco Rd. Landfill. P.O.# 02-10055 phone No 5 1 a- <br /> �f E <br />'Address 4001 North Vasco Road, Livermore, CA 94550 f <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is tTe and ac;ttate <br /> me of Authorized Agent SI nature Recei <br /> PASS CODE <br /> BF1260.720 <br /> TRANSPORTER RETAIN <br />
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