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ARCHIVED REPORTS_XR0002422
Environmental Health - Public
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EHD Program Facility Records by Street Name
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G
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GRANT LINE
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450
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3500 - Local Oversight Program
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PR0545201
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ARCHIVED REPORTS_XR0002422
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Entry Properties
Last modified
1/24/2020 4:29:01 PM
Creation date
1/24/2020 4:12:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002422
RECORD_ID
PR0545201
PE
3528
FACILITY_ID
FA0009068
FACILITY_NAME
Green Soap Inc
STREET_NUMBER
450
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
450 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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�`lAlaste No.. 916033 <br /> Systems <br /> ES <br /> BROWNING-FERAIS INQUSTRIES T" NON-HAZARDOUS SPECIAL WASTE. .MANIFEST <br /> ..• <br /> GENERATOR <br /> Generator Name .�-t ; "Pa== &=Mkry Generating Location <br /> Address ..__.—_ 45d�E_, GRANT'f.TfVF'. RQAn Address SAME <br /> mRA12Y, M 95376 SAME <br /> Phone No. ®� Phone No. <br /> BFI Waste Code U S 1 0 ( Z 3. R 3 3 b Containers Type <br /> Descri tion of Waste Quantit Units No. T D-Drum <br /> [[ C-Carton <br /> e <br /> So u.1 �i�5C1 0 B - Bag <br /> i T -Truck <br /> ❑ m <br /> E <br /> P - Pounds <br /> Y-Yards <br /> O-Other ; <br /> I hereby certify that the-above-named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable <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 condi ' f^or. portation according to applicable regulations. <br /> BM ENJPJDESPT MMM_ <br /> Generator AuthOrized.Agent Name ::_Slgnature:' _. Shipment Date F <br /> TRANSPORTER <br /> Truck No. rte' {-! Phone No. <br /> Transporter-Name i,(-,? Driver Name (Print) <br /> Address Vehicle License No./State <1el Oe,7 <br /> /)i <br /> Vehicle Certification <br /> I.hereby certify that the above.named material as epic ed up I hereby certify that the above named material was delivered wO <br /> at the ge erator site listed above.. ;,• (< out incident to the destination listed below. <br /> ' U <br /> 1 <br /> D r i nature :,. k Shipment Oats river Signatu a Delivery DateDESTINATION <br /> k <br /> r � <br /> Site Name Phone No. <br /> Address <br /> I hererti that the.above,named-material has been-accepidd and to the best of my knowledge the foregoing is true and accurate. <br /> urns a<Authorized Agent <br /> .l <br /> Signature- - Recelpt Date <br /> PASS CODE <br /> BF1. .. .. . r...,:' <br /> - <br /> 260 7'' <br /> 90186. . <br /> .. <br /> UNLOADING AREA COPY <br />
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