My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SITE HISTORY
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
W
>
WATERLOO
>
4315
>
3500 - Local Oversight Program
>
PR0545859
>
SITE HISTORY
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/3/2020 5:04:01 PM
Creation date
8/15/2019 11:29:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545859
PE
3528
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
02
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
72
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
U 4 v 1 .1:01 2'-AA 114 1-'V JDfV <br /> staft 4 CQCFQ�prom-No"'%goocy <br /> Form Approved 0A15 No.21350--MV(Epkt S*o In"mWmns an bod&..,,' age 69f I.5.bm�C� <br /> ,544-10 5�rmumta,Cuf.nia <br /> j L I 6...tes US EPA ID No. A4-46a Dtcv,mtF No. 2- Fog.I 4ftmncmon in tl-p shaded afoot <br /> UNIFORM.HAZARDOUS by F-60 k-- <br /> WASTE-MANIFEST Ir Ig 1 r� I 0A .4 <br /> NQand AWfiag Add- 1L 4.SooRiL N"Aw Dmmmm <br /> C5 SHELL 0 <br /> C; <br /> C3 5-Tr-prl-I C*_00a;fs. 6.in EPA O <br /> 7 <br /> 7. Traruparftr 2 Conpany Nom 9- US,FPA ID Numter <br /> F_ 0� <br /> Sw A ddrm 10. US PPA ID K...b- FmdWs Wsv- <br /> Coz <br /> i p I i I 1'z Z <br /> 3 9 .r, jmy- AA <br /> GVH <br /> u ;r*n Ia. Total IA. U(4 <br /> Glitz 11� US DOT Da=ipfion Cwmlu&ng Prvp�_ ShkVing Ha�,H=mrti C�_.-.1 ID Number) TV,* ovonft v"Ivol L- <br /> 3: <br /> p [o 10 10. �41F/,tfllFafisbd <br /> Co <br /> T <br /> 0 <br /> uj <br /> J <br /> Lu <br /> ep <br /> p <br /> _,tM <br /> Z J. Adcr*x-ul Dmosk-I.,M.0-ink.Liftff Above <br /> 0 <br /> 190al <br /> &xEKP7Y TVARCS) AM r- J <br /> N, <br /> d- <br /> mt <br /> P <br /> 0 T5.5pd.1 Flard69 krumetions and Addiflor.51 lfifamatiaM <br /> < r��xai W7 <br /> le 3-00 <br /> uj LR <br /> q- :errE.RL_r- q 0; <br /> �iTPCi�TnN <br /> 16-GENERATOR'S CERTMCATIO& I N&mby dedbm lbat fM cmftrft of#0tiir aaa-*A-M*d abmt by proper dhrppMg acme md a-cl--A-d, <br /> packed.- ad,and kAwled,ond are in all mpom;ft prop-c-e-Iiiam far tl-mPart bY highway--alia13 f-applmbl&Federal,t1oft omd;rremariannl 1Ours. <br /> if i am a large qu.n*Swerater,I caffiFy that I h7m a program m ptam Io mdum flw volume and MKkily 01 wop@ gomta*d vo ffm degree I have cunei tried 10 he <br /> aconamicelly practicable and that I Saw WkWW the pmaicable madmd of frectmovd.st moo.of clNgwat CurrEfF*ovakd3la so trre which mb*a las the promwd ad t0y- <br /> 0. .4 a H_j i-m _wN woric. -k.T it.bed <br /> ih-t N-6—6eak'6 o�A 16��rom�t OR;F I a-a 4-011 qvo"#Y 091410W,I b---k 9- 1' 9- "d <br /> wcnim monoctmmmt moSod ffm*h amilubk to mw Pfd that I pan alfor& <br /> Piii/Typm None Si ft D- Y- <br /> ;wvi <br /> T 17. Tmngpoftr T af Roce*0 of maturk3k <br /> w <br /> R Akfflrh Day yea <br /> A <br /> -71 c <br /> f"h Jr--j <br /> ot 9.Tnwmpurftw 2 Adqtmvi& of Raceiot of Mcftdok <br /> WIWorrth <br /> fj_ r Priniod/Typod Num Yeo <br /> 19. Diocropormy MicaSon-Spwo <br /> A <br /> C <br /> I <br /> I <br /> 1 241 F-dify 0— CI,rtr�.1 r*,AiPf Of h6ldfAIM"W"rWh Cawrod by thit rumlao axxmw Cm in ISM 19. <br /> T Prmfd/T" d Nome 51f aseAuCd6 Doy Yea <br /> Y ptvf a !�-Ptm I Z)fw _,:�z I /I A 01719 <br /> 2.047524aal?14-394Z JS DO NOT WRITE BELOW THIS UNE. <br /> -•16 CC;,Py C:ENERAYOR ,vlThiN 30 DAYS• <br /> arse firf"'L(Wqlj <br /> EPA 9700--122 nj,tr =.127eL7 I.Py of-iit copy and d It,DTSC .,tb;n 30 days.) <br />
The URL can be used to link to this page
Your browser does not support the video tag.