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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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NAVY
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2200 - Hazardous Waste Program
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PR0513950
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
1/7/2020 10:49:01 AM
Creation date
1/7/2020 9:49:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0513950
PE
2247
FACILITY_ID
FA0009657
FACILITY_NAME
NUSTAR TERMINALS OPERATIONS PARTNERSHIP LP
STREET_NUMBER
2941
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206-1149
APN
48906-1
CURRENT_STATUS
01
SITE_LOCATION
2941 NAVY DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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Please print or .(F designed for use on site f2-pitch)typewrite.) Form Appmved.OMB No.2050-0039 <br /> ~ UNIF DOUS 1.GareratorlD Nwn6er <br /> T I 2 Page 1 of 9.6ne gency�Rlesponse Phona/1 I.Man"in Ning Number <br /> WA FEST li SIO' TrL�27C) 001299019 JJ K <br /> 5.Ga shame and Mar R tltlreSs GenemlorsSMAddress(d diRerem Nan mailarg ad6essJ <br /> 6t ro S Fac e-Te Ana,( <br /> a,?y1 Alavy CrivIe,3 &4ta.lex , CA gQo(v <br /> Generator's Phone: <br /> 6kec VC-11/)4.Tmns ikrt Company <br /> US EPA10 Number <br /> ?Degn <br /> e 1 9 0adl No� ,�`a 17A sPc� L.,a,-eh mak, (A 9oB1, <br /> Feel Spheres: 2 y 2- - CA aa�Yo9ol9 <br /> ga. 9b.U.S.DDT Desrdption Qntluding Proper SMpphg Name IIaaN Class.0 Number, <br /> NM aiMPaGhg Gmup(decry)) 10.Container 71.Total !66-4 <br /> unit <br /> 1 RCL Wei cydsb 1 No. Typo OuanliN <br /> IG , s,'r� cao3 PAIL <br /> W CE�- k �a$� ' oa4 �3 02' RQ WAsX � � �2 �t✓ask Fla.�w>a61e"1 . NOS) E.ye„o _4. Ii.�e�� 3� V�(1!9 4 3� f�r2C CERCrtk 12'8) pO I S•S' <br /> 4. <br /> 14.Spafal Flans iaglnstrucmns�gndAdditionall*mmni, <br /> III , Y,,,-. p e.$* t{ 374 <br /> 9a2) <br /> SS- rl-6 drVn; �" (�e# 1-f�38 S <br /> 3 - 1a Yve, f rOG k 4-147&44 <br /> 5. G TDR'S/D EROR'S CERRFICATION:Iherehy declare Nat Ne mnbnls of this mnsignmee9are NByerrd acwrAely dosmbetl shove by Ne pryer Shipp name,and are tlass'died,pacimg <br /> maded and tabeled/placuded,and are in all fe pBar h popermnditen fwbahapon aoprding to appbcabla iidemationalarq natid� <br /> Expaler,I certify Nm the cmdems of MIS cmisgrunard conform byre users of the abdi,,d EPAAchrm�d govemmmtalmpmonsyexpoA swpmenl and l are he prunay <br /> Icably Nat Wa vraste rnirinaalbn dalenrent HenB6ed hd0 CFR 26227a lamely a edgment sent <br /> 26Z27(a) g quan6tygensmlw)or(b)(III are a small gmntiy generator)N bue., <br /> �ror'sf yped are Sg <br /> Month Day Year <br /> F76. ntomationel SAlpments <br /> Tmnaporter pitneNm(fa experts onty): lerrpmllo U.3. �Eapod w.us, Partofentryleed, <br /> 17.7 Dale leaving U.S.: <br /> porlaAshiowledgmanofR ptof Materads <br /> T rt PohdedFlyped <br /> p Signaw <br /> Month Day Year <br /> T 2 PonledlTyp me <br /> S' <br /> Month Day Aar <br /> 1B.Disoew.CY Y12 b2C <br /> 10a.Discrepancy Indication Space ❑ausatty ®Typey <br /> ❑Resitlue ❑Parfial Rejerxmn ❑FuO Re)ection <br /> 3 �W (�OD� Manliest Referenes Number <br /> Faay(erGeriamlur) _—._______.. <br /> —+ DS EPAID Number <br /> V <br /> LL Faalitys Phone: <br />'"'�"` w 1&, grotue ofAltamafe Fagliy(or Generator) <br /> i Month Day <br /> Wask IZapmtMaimgemeM Me9rdd Cddes�ls.,mdesfarhermdolq wade tieahnenf.dsposal,eiq recycling systans) <br /> 0 1. g <br /> 1 T/ Ip <br /> 20.Designated Flay meara Up®error.(:erfi6wtpn drawVjt of fousdos materials mrered by the W es now In llere1 <br /> YPed Naim tom ' <br /> _ isj —Month— <br /> Dry Year <br /> 7 - <br /> 9700-22(Rg&3-05)FwAgl6BdimeRoWoste. . - 1 D <br /> DES NATED F ITYTO DES A N STATE OF REQUIRED) <br />
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