My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0002422
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
G
>
GRANT LINE
>
450
>
3500 - Local Oversight Program
>
PR0545201
>
ARCHIVED REPORTS_XR0002422
Metadata
Thumbnails
Annotations
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
94
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
f Wc1ste t .r No.. 1 915��4 5. <br /> Systems TM _ WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIES .NON HAZARDOUS SPECIAL AS <br /> GENERATOR <br /> i)C;u�t�E :�:ZiI�Cs"a Lr: �;F':�.•FI :��,;1,1- <br /> Generator Name Generating Location <br /> Address 450 E. GPANI= FaM Address SAME <br /> TRACY" CA CA 95376 SAME _ <br /> _ y' <br /> 0. . 3. :5: , Z. . 3. •,3 �.3 <br /> 'Phone No. gPhone No. <br /> BFI Waste Code <br /> C �( O S r' O ti 4 Z 3 3 y U Containers Type Description of Waste QuantityUnits Na. Type D- Drum <br /> © C-Carton <br /> B - gag. <br /> s f T -Truck i <br /> D <br /> ELI ❑ P -Pounds <br /> Y -Yards <br /> 7_1 <br /> F-1m ❑ 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 condition for tr sportation according to applicable regulations. <br /> PTANT MUZGER4 <br /> FAGUNTES �0 ' . Q E 0 1 Z_ 6 Z <br /> Generator Authorized Agent Name Signature If Shipment Date <br /> TRANSPORTER <br /> Truck No. L Phone No. <br /> VS J�l Driver Name Pt -t ^r'� <br /> Transporter Nam f„� <br /> �, / n / <br /> Addres �kticlol3nse o:lState <br /> xf Vit{: <br /> Veh1 a C�etttfication <br /> a � <br /> I herebycern that the above named material was picked up ereby certify.that the above named material was delivered with- <br /> certify <br /> 4,i,, n <br /> nerator site listed above. ut 'dent to the destination listed below. <br /> .W-40I o I f <br /> ture Shipment Date r n De lust ate <br /> DESTINATION <br /> Phone No. <br /> Site Name <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> . i <br /> ':ry , ^ °ot Atithorized A ent - >-sl nature. Date <br /> Receipt <br /> PASS CODE <br /> • SF1260-72C <br /> 10!66 <br /> • UNLOADING AREA COPY <br />
The URL can be used to link to this page
Your browser does not support the video tag.