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FIELD DOCUMENTS_CASE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WEST
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4040
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3500 - Local Oversight Program
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PR0545105
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FIELD DOCUMENTS_CASE 1
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Last modified
12/19/2019 2:07:57 PM
Creation date
12/19/2019 1:59:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 1
RECORD_ID
PR0545105
PE
3528
FACILITY_ID
FA0003965
FACILITY_NAME
PG&E
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11702001
CURRENT_STATUS
02
SITE_LOCATION
4040 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Mrrc. 10.C:uu1 10:48AM PG&E <br /> ENV.. SERVICES <br /> UIatEWAS �a �.b±r0.28^2�w_- <br /> P.3 <br /> sMANIFEST • we5 Da. g~fIla 0 IN Al <br /> m <br /> 3.Qenerlat e:g Nam®end Melling Address Site!Address Fedarat bell. <br /> J - -777-7 <br /> .. ._.. .. ' Nj.��1- <br /> i <br /> 4.GenPreFtor's Phone- (209)342-1485 Attn: JIM JARV13 <br /> 5.7=3pWar 1 Company Neme Child S,US BPA!D Numkter <br /> altos <br /> 7.Trel,spnrtxr 2 Compenp Nelms "P. B,11S_ __EPA ID Tduntger <br /> 9.Dmigneted Fociflty ped Sate Address 4�QA 10,US BPA ID Dumber <br /> 10.,QF,2yr <br /> 11.US DCT DeacrlpWri oncUrA ng Proper Shipping Name,Mezerd Klass,and ID Number) 12'cantalnars 13.Tates 1 a.UnR <br /> No. TypD QUOMY V Wal <br /> a. d ulIPAa:c ❑r RQ Orfgln: l n A ..__. :J;oALRfi PaAl•R� <br /> RID WASTE, AEROSOLS, FLAMMABLE, 2.1, UN1950 16 11, M .► 630 �' ',:.I <br /> G Size - ❑ -� <br /> T. T Eat, � <br /> RQ Orlgln•I <br /> IRQ, WASTE, FLAMMABLE I41QUIDS, N.O.S. i. <br /> (GASOLINE,DIES4L, TUEL} , 3, UN1993 PG II Size <br /> 0 5 <br /> 8 ----. _.,......� ..... ._ _... ., .,., ..,..............------.. . , ,,..�. ... ❑ Est. <br /> !APACK ❑ RQ Origin-1-r w <br /> ........_ ca RR � Pad 4RIX, did' <br /> _ .... .._. _... . si e <br /> Est. <br /> d. ❑ p4CK ❑ RQ Origin: I T �aA1 vR Fed loop <br /> Size <br /> , 11A:ROM008281 AEROSOLS, PAINT CONTAINING ERG 41 <br /> - <br /> j! 126 ,11B:ROM009936 GASOLINE, DIESEL & WATER <br /> CMIXTURE D018 ERG - 128 <br /> 'h <br /> I~ <br /> 13-0 <br /> x1 Ad; <br /> 15 Instructl Ad fti onel Info Sa <br /> sap#: 2002304 Wear protective clothing and eyewear as required. 24- <br /> hour emergency contact/Allwa5te, Inc,/Lee Soares/1-800-321-1030. Site ID: <br /> 2C-N SVMR # P/U Tag # • <br /> 16 GEIPRATOR'S CERTIFICATION: I hereby dmofare that the oarnerns of this cnnsignlnent am fully and aaatineely OKe(ibed above by propershipping <br /> name and are olvWfled,pooued.marked,and fahsled,and are In Al nspeats in proper eo MICIn transport by Mghwey aozeTTrmp to applicable Intematloml and <br /> nalorlal pevernmem regulations. <br /> If 1 aro a tarye quantity generator,I certify that I have a program In place to reduce the volume and toxiohy of waste g2ritmal)to the choles 1 hays <br /> deterngned to he ecntwmleally proattoahle and drat 1 have selomed the pracldbable mWhpd of treatment.Simla,or disposal ourr4n9iy aVgtiabla to me whloh <br /> minlmlxes the present xnd Mgrs threat to human health and tho a tvirohtr4nt:OR,if I am a mail quantity generator, I have made a good With Elf=to <br /> mlmlmbr my oumeo npnwmrinn-0 colont thr hurt towto mwnanFm»mrtnnd thorn IS mrallAho to rm ami"wr r non offnM <br />
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