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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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2200 - Hazardous Waste Program
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PR0513802
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
2/6/2020 1:40:13 PM
Creation date
2/6/2020 10:36:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0513802
PE
2220
FACILITY_ID
FA0003683
FACILITY_NAME
Caltrans-Stockton
STREET_NUMBER
1604
Direction
S
STREET_NAME
B
STREET_TYPE
St
City
Stockton
Zip
95206
APN
171-090-08
CURRENT_STATUS
01
SITE_LOCATION
1604 S B St
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\dsedra
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EHD - Public
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S1t4 Addy-13z; <br /> WORK ORDER NO. <br /> DOCUMENT NO. 197567 <br /> 97567 STRAIGHT BILL OF LADING <br /> TRANSPORTER 1 Caan � `` "�'' `�" ''���S-witcs:imc VEHICLE ID # <br /> EPA ID # M A D 0 3 93 d ` 2 6 d TRANS. 1 PHONE <br /> TRANSPORTER 2 VEHICLE ID # <br /> EPA ID # TRANS. 2 PHONE <br /> DESIGNATED FACILITY SHIPPER <br /> C;E'An'.r'amm Al-ago tits a ! :: C:jI,rani c-tstdei 10 <br /> FACILITY EPA ID # SHIPPER EPA ID # <br /> ta1*D481552177 CAD= 981458 .174 <br /> ADDRESS ADDRESS <br /> CITY STATE ZIP CITY STATE ZIP <br /> rar,tsys1<ti th'# � SVW66 <br /> CONTAINERS TOTAL UNIT <br /> NO. & SIZE TYPE HM DESCRIPTION OF MATERIALS QUANTITY WTNOL <br /> A. <br /> UN.7 s ,BA:1X^k:E�,�T. <br /> aj S�`+�;?PAGE,0,PG 1II,>aUNVE S-"_ tf+1AS:E) <br /> -HV-B �:.': <br /> D. FAQ 14A V1,Mr-M-i,,.iS; r .:C <br /> 5? RAGE, <br /> F. <br /> G. <br /> H. <br /> PF,CINL. k) NpU GaN�TRS,IC.TIQ <br /> SHIPPERS CERTIFICATION: This is to certify that the above named materials are properly classified, <br /> described, packaged, marked and labeled and are in proper condition for transportation according to <br /> the applicable regulations of the Department of Transportation. <br /> PRINT, SIGN DAfTE.�_ <br /> SHIPPER : TvG �r_'�6 - <br /> „��ijNT�� r SIGN DATE,.- <br /> TRANSPORTER 1 u .l -'EZ <br /> PRINT SIGN DATE <br /> TRANSPORTER 2 <br /> PRINT SIGN DATE <br /> RECEIVED BY <br /> CHI 107 A <br />
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