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ARCHIVED REPORTS_XR0003131
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545307
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ARCHIVED REPORTS_XR0003131
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Last modified
2/11/2020 9:56:16 PM
Creation date
2/11/2020 9:00:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003131
RECORD_ID
PR0545307
PE
3528
FACILITY_ID
FA0000932
FACILITY_NAME
DOMINO'S #8588
STREET_NUMBER
305
Direction
S
STREET_NAME
HUTCHINS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03319020
CURRENT_STATUS
02
SITE_LOCATION
305 S HUTCHINS ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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F <br /> { <br /> i <br /> SOURCE RECORD BILL OF LADING Well I D Gals Well I D Gals <br /> FOR NON-HAZARDOUS PURGEWATER RECOVERED FROM <br /> GROUNDWATER WELLS AT TEXACO FACILITIES IN THE <br /> STATE OF CALIFORNIA THE NON-HAZARDOUS PURGE- 1 1 <br /> WATER WHICH HAS BEEN RECOVERED FROM GROUND- <br /> WATER WELLS IS COLLECTED BY THE CONTRACTOR, / <br /> MADE UP INTO LOADS OF APPROPRIATE SIZE AND <br /> HAULED TO THE DESTINATION DESIGNATED BY TEXACO 1 2 •J� 1 <br /> ENVIRONMENTAL SERVICES (TES) <br /> I 1 JM <br /> Contractor' Blaine Tech Services _ Incl <br /> Address: 985 Timothy Drive / 1 <br /> City, State, ZIP. San Jose CA 95133 <br /> Phone, 408 995-5535 1 / <br /> is authorized by Texaco Environmental Services to recover, / 1 <br /> collect, apportion into loads, and haul the NON-HAZARDOUS <br /> WELL PURGEWATER that is drawn from wells at the Texaco 1 ! <br />, <br /> facility listed below and to deliver that purgewater to an <br /> appropriate destination designated by TEXACO ENVIRONMENTAL 1 1 <br /> SERVICES in either Redwood City, California or in Richmond, <br /> California Transport routing of the Non-Hazardous Well Total gals`� added rinse <br /> Purgewater may be directed from one Texaco facility to the water C <br /> designated desitnation point, from one Texaco facility to the Total Gals. <br /> designated destination point via another Texaco facility, from a Recovered <br /> Texaco facility via the contractor's facility, or any combination + <br /> thereof The Non-Hazardous Well Purgewater is and remains the Job It <br />;t property of Texaco Environmental Services (TES) Date f <br /> Time /I / <br /> This SOURCE RECORD BILL OF LADING was initiated to cover Signature <br />' the recovery of Non-Hazardous Well Purgewater from wells at <br /> r, the Texaco facility described below REC'D AT <br /> l <br /> C' TEXACO #• t Date <br /> Address* Time <br /> City, State, ZIP: Signature <br />' n , n IR en�r- I rr.,rr. .... , ,.. <br />
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