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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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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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Waste No. 957242 <br /> �J <br /> Systems TU N <br /> BROWNING-FERRI8INDUSTRIES N4iAZARDOUS SPECIAL WASTE MANIFEST <br /> Generating Location <br /> Generator Name <br /> California Cedar Produrts California Cedar ProduCLS <br /> Address 12418 E. Locke Road Address 12418 .E. Locke Road <br /> Lorkeford. CA 95237 Lorkef'ord. CA 95237 <br /> Phone No. 17377T_ <br /> J_L 9 4 4 1 6 B o o <br /> Phone No. �— <br /> BFI Waste Code C A 4 1 0 1 5 0 L2_1_1 2 9 3 i g g 1 Containers Type <br /> Description of Waste Quantlt knits No. n1e, <br /> e -Bag D- Drum <br /> 0 0 01 12. a � C-Berton <br /> NON i•iA2Af2a0L'S T - <br /> Truck <br /> SOIL h F m <br /> P-Pounds <br /> Y-Yards <br /> ❑ m FI O-Other <br /> I hereby cortify that the above named material does not contain free liquid as defined by 40 CFR Part 280.10 or any applicable <br /> state law, Is not a hazardous waste as defined by 40 CFR Part 281 or any applicable state law, has been properly described, <br /> classified and packaged, and is proper conditlon f ansportation according to applicable regulations. <br /> TT rt f •.� /1 <br /> 06norator Authorized Aganl Name ftnaiure Shipment Date <br /> Truck No. 310-834-8850 <br /> Phone No. <br /> Dillard Trucking. Inc. <br /> Transporter Name Driver Name (Print) <br /> Address P. 0. sox 218 Vehicle license No./State <br /> Byron. California 94514 <br /> Vehicle Certification `s <br /> I hereby certify that the above•named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator site listed above, out Incident to the destination listed below, <br /> QrtvtN Sfgneture .� Shipment Data Driver Signatu"O - DeDvery Date <br /> DESTINATION <br /> Site Name B.F. ! . Vasco Road Landfill Phone No. <br /> Address 3001 North Vnsco Rd. _ Livermore. Ca. 9.3550 <br /> I hereby certify that the above named material has been accepted and to the best of my knowl gof rue and accurate. <br /> Name of Authorized Agent a re _ Receipt Dat <br /> AS9 CODE <br /> 10188 SF1200.720 <br /> TRANSPORTER RETAIN <br />
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