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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOCKE
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12418
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3500 - Local Oversight Program
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PR0545391
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/5/2020 9:32:08 AM
Creation date
3/5/2020 9:03:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545391
PE
3528
FACILITY_ID
FA0009629
FACILITY_NAME
CALIFORNIA CEDAR PROD
STREET_NUMBER
12418
Direction
E
STREET_NAME
LOCKE
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237
APN
051-320-05
CURRENT_STATUS
02
SITE_LOCATION
12418 E LOCKE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ILI <br /> E-o-w1stems- '"Nor <br /> t3ROWNING-FERRIS INDUSTRIES NO"N-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> farr:ia ''c�d.r .t_ -- <br /> Gener9tor Name Generating location <br /> Address 12418 E. Locke Road Address 12418 E. Locke Road <br /> Lorkeford. CA 95237 Lockeford. CA 95237 <br /> 9 4 4 5 8 0 0 _ <br /> Phone No. Phone No. - <br /> BFI Waste Code C a 4 0 8 0 2 1 2 9 3 4 9 9 9 1 Containers Type <br /> Description of Waste Quanti units No. Type D-Drum <br /> 8 -Bag C-Canon <br /> NO'S HAZARDOUS FT T -Truck <br /> SOIL Elm [:] <br /> P - Pounds <br /> Y -Yards <br /> LEI 1-1 El <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 49-CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper conditio ransportation according to applicable regulations. <br /> i <br /> .- <br /> Generator Authorized Agant Name ig a Shipment Date ' <br /> 1 <br /> TRANSPORTER <br /> Q�.. Q 510-634--6850 <br /> Truck No. Phone No. <br /> Dillard Trucking. Inc. <br /> transporter Name 1 o Driver Name(Print) 'Q +-Pf OAA <br /> kddrdss P. 0. Box 218 %- <br /> Vehicle Ucense NaJState Z 2 d11.6 <br /> Byron. California 94.514 .�. 411k <br /> Vehicle Certification' V <br /> hereby certify that the above named material was picked up ` I hereby certify that the above named material was delivered with- <br /> it the generator site listed above. out incident to the,-des0nation Vstedpalow. <br /> �-c <br /> Htv*r Signature Shipment Dat* or"r Signature, Delivery Date <br /> DESTINATION <br /> site Name <br /> B.F.I. Vasco o Road Landfill 5 1 0. — 4 4 7 0 4 9 1 <br /> Phone No. <br /> 4001 North Vasco Rd. .. Livermore. Ca. 94550': .,. <br /> Adress <br /> hereby certify that the above named material has been accepted and`to the best of he foregoing Is true and accurate. <br /> am•of Authorized Anent '§Ionature Receipt Da <br /> tar— <br /> PASS CODE <br /> lisa <br /> f ° BR2W720 <br /> TRANSPORTER RETAIIK <br />
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