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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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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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� wasre, No. <br /> 3E30WNING-FERRIS INDUSTRIES +nom " 1�vVJ `. .�'�L WASTE MANiFES i• <br /> ti • <br /> : -if orn'_z Cedar Prc d:irrS California Cedar Prndurr-. <br /> (-,ener�itor Name Generating Location <br /> -address 12418 E. Locke Road Address 12.118 E. Locke Road <br /> rur.kefcrd. CA 95237 Lorkeford. CA 95227 <br /> 0 3 ) J 0 <br /> Phone No. �T� i I Phone No. <br /> BFI Waste Code C Ia I a 0 5 0 Z 1 2 1 9 14 9 9 9 1 I Containers Type <br /> Description of Waste Quantity Units No. T e D-Drum <br /> 0 0 0 1 3 =71 0 1 ( C-Carton <br /> u B-Bag <br /> . N' HAZARDOUS T-Truck <br /> SOIL ❑ m � P-Pounds <br /> Y-Yards <br /> ❑ m ❑ O-Other <br /> I hereby certify that the above named material does nat 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 40 CFVt Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition r sportation according to applicable regulations. <br /> n C 0 2 1 6 9 3 <br /> Ganeratm Authonzed Agent Name Shtprnent Date <br /> TRANSPORTEFr <br /> 0 <br /> Truck Na. Phone No. 510-634-6850 <br /> Dillard Trucking. Inc. <br /> Transporter Name Job 1302!2 Driver Name(Print) nn <br /> Address P. <br /> 0. Bos 218 Vehicle License NodState <br /> Bvron. California 94514 <br /> Vehicle Certification Er-+e7'Z2 <br /> I hereby ce ify that the above named material was picked up I hereby ertify that the above named material was delivered witr <br /> at the ge rator site listed above. out in • nt to the destination listed below. <br /> 2 1 6 9 3 �, <br /> ona(er Sign shipment Dat• Delivery Owe <br /> DESTINATION <br /> S.F. I . Vasco Road Landfill —14 5 1 04 7 0 4 9 1 <br /> Site Name Phone No. <br /> 4001 North Vasco Rd. . Livermore. Ca. 94550 <br /> 3 <br /> Address - <br /> I <br /> I hereby certify that the above named material has been accepted and to the best of my knowled r Vs true and accurate <br /> i <br /> i Name of Authortzed Aaenl S' nature eCefDf Oats ' <br /> i <br /> '--�_ PASS CODE <br /> t 0188 f BF1260 <br /> i <br /> TRANSPORTER RETAIN <br />
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