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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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PR0505935
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
3/5/2020 12:04:33 PM
Creation date
3/4/2020 11:25:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0505935
PE
2229
FACILITY_ID
FA0005626
FACILITY_NAME
SANBORN CHEVROLET INC
STREET_NUMBER
1210
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95241
APN
04728013
CURRENT_STATUS
01
SITE_LOCATION
1210 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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21 '97 14:17 FR SK-7185' 209 545 3680 TO 33404`x" P.02-/02 <br /> No.2050499 Ir—' 9-3 1 7-1 t .i—(S 1 See Inshvctio�s on lsowic of pag*o. n,�...,.or T.ds s„*w..e..ca... <br /> A m dee{7.r.!Aw eee on eww(7 rYP+"e save awaw,Ctt err:o <br /> UNIFORM HAZARDOUS T. Genwator's US EFA 10 No. MONO=*0o "wl No. 2. Poo 1 is am 66.*Add Iww. <br /> i WASTE MANIFEST CAD 545 9 7521 1 <br /> J. GWANW(s Neal►and Maiitp Add. N VROLET <br /> 2210 S CHEROKEE LN <br /> pDI CA 95240-5994 <br /> ♦. Gerw wls P%--2091 3734— O <br /> 3. TrampaNr 1 Comp"Name 6. US EPA ID Numbw <br /> SA <br /> FETY CORP. L i9 <br />—a 7. Transporter 2 Company None 8. us EPA to Numbr <br /> u� 9. Fm Wat•e AddreY 10. US EPA to Ni—be, <br /> ce <br /> O 050 SALIDA BLVD <br /> IDA. CA 4 P5368 CAT 000613968 <br /> u 12. C4nta6e.+ 13. Tetd 1� 1Jww <br /> Z 11. UE DOT 0--pfi—f clvdwq P-per M—,Maao•d Class.asd 0 Ni.a.6er) Ne. T MA d <br />~ WASTE COMPOUNDS, CLEAN Z NG L I tom!I D DM G <br /> 3 (MCW,' IETHANOLAM I NE)8 NA 1760 PC I I I(DO06) <br /> E (DOO8. DO 18. 0027C039D04-0).[ERG*154)7. 9*/OL <br /> m N b. <br />� E <br /> N R I <br /> A <br /> T <br /> O <br /> R <br /> us <br /> z d. <br /> a1 <br /> U <br /> W <br /> v7 <br /> a. <br /> H <br /> W <br /> a <br /> O 1s RGEfMCY R ES?>l$ACOS117 <br /> a <br /> z <br /> ,. A: 950 B: C: D: <br /> 16. G04MATCWS CH"WICAM& I h4-by declare that the co-tem of this cwnsapnw my aro Fahy wad accum-ly described aba 6y proper shtpP6sg vwww end ue ckmwfled, l <br /> Q vod.d,r.ari.d,a..d 66.hd.a+d arm:,dl nmp.da i'ProPer eandY:oa Fa t.w.agvrt 6Y hFpiw'W <br /> acx3wcb.p to app4cable iMerrda'io.d mad ratwod gwammav ra0ulosians• <br /> if i -n a large 9uadr 4onerwar,I C*Mfy#-t J have a Program N pto< w Fwduce the vbhw.wr and imaaty of wash p netai.d tw dw degree i haw defermrsad to be <br /> 1 6--mkudy peocicabie and that I have settled she pradicoh"me6od of .-we".ev di.pe.d""TM t'wv�it.�Fe» vr6ldt wtiwhntam Iia pree.se and LAww <br /> n thr.af tw huw.aw heaitlt nh.wr—c—newtl OR. X I am a engin Wady t a good fo:w eFfo.i q twlnhrfn m1 wad.9"mailat twld seise tlae b.sr <br /> Y wade is tw n+e and lhat I m+afford. <br /> ea <br /> y 17 <br /> L r 17. T T A t of .H <br /> of aler cit <br /> M-14 0mL.- <br /> A Pfinscd/TyP•d Home <br /> Y x <br /> a <br /> 0 1& T 2 Admof R d <br /> s- T Pnwted/Typed Nome Staraw+re Month Day Ywar <br /> J f <br /> 19. Ob�w.q WAkotion 5pc;w <br /> Q F <br /> A <br /> L C <br /> L <br /> t 20. FwcW Osnror or lor caCerliFieation of of haterdaas s toverod maaiFesl ex as awtwd is Item 14. <br /> T F*i•t T Nome slgrah+t+ Mach bar Y.W <br /> Y <br /> i'r i 7 r9Pf t NE. <br /> ru?ran <br /> DT5C 00=A (1l9� V <br /> .PA 3700-22 <br /> * TOTAL PAGE.02 ** <br /> 10/21/97 13:06 TX/RX N0.5576 P.002 <br />
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