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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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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. 957250 <br /> Systems TM <br /> BROY.'t{NG-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> O. <br /> Generator Name <br /> California Cedar Products Generating Location California Cedar Produrt.s <br /> Address 12418 E. Locke Road Address 12.118 E. Locke Road <br /> Loc"keford. CA 95237 Lockeford. CA 95237 <br /> 0 9 ._.. 9 4 4 5 8 <br /> Phone No. Phone No. L� <br /> SFi Waste Code C A t 0 5 0 2 1 2 9 3 4 9 9 9 1 Containers TYPa <br /> Descrijptlon of Waste Quantity Units No. TvDe C•Crum <br /> 0 Q 0 1 8 }� 0 1 ( C-Carton <br /> �f 8-Bag <br /> NON HAZARDOUS T -Truck <br /> SO I L ❑ l� ❑ P -Pounds <br /> LTJ ❑ <br /> Y-Yards <br /> ❑ m a Q-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 250.10 or any applicable <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulatfons. <br /> 641'n 0 <br /> Generator Authorized Agent Name atarq : Shipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No. ! ._, Phone No. <br /> Dillard Trucking. Inc. <br /> Transporter Name _ lob f�na:o Driver Name (Print)... <br /> Addrm P• 0. Bos 218 Vehicle License NoJState J Z <br /> California 94514 <br /> Vehicle Certification <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 Ove. out Incident to the-destinatlon listed below. <br /> 0 2" 1 1 1 s •. 9 a <br /> river Signature,- L Shipment Date river SI .wr-, i Delivery Date <br /> 4• <br /> 1. <br /> 1 <br /> Site Name B.F. I . VascoRoad Landfl ll Phone No. 3 1 0 — 4 d 7 0 a 9 1 <br /> 4001 North Vasco Rd. . Livermore- Ca. 91550 r' <br /> Address <br /> I hereby certify that the above named material has been accepted and to a best he foregoing Is true and accurate. <br /> Name of Authorized A ent 91 store eceiot Data <br /> PASS CODE <br /> 13F1280.72 <br /> 101" <br /> TRANSPORTER RETAIN <br />
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