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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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M <br /> }i '� ..M• `.I 9 IIA None <br /> 3ROWNING-FERRIS INDUSTRIES 1 ',O' `�nI-RAZARDOUS SPEC,i A L WAS _t � I,.ANIFES-I <br /> Produrr: _.Iifornia Cedar Products <br /> Generator Name Generating Location <br /> Address 12418 E. Locke Road Address 12418 E. Locke Road <br /> Lor.keford . CA 95237 Lockeford. CA 95237 <br /> Phone No. 0 3 _ 9 m 8 0 f; Phone �— <br /> No. <br /> BFl Wt3ste Ctode C a 4 0 5 0 2 1 2 9 3 41 S 9 9 1 Containers Type <br /> Oescriotion of waste Quantity Units No. T' e D-Drum <br /> 0 0. 0 1 8 0 1 ( C-Carton <br /> u U 8-Bag <br /> NON HAZARDOUS T-Truck <br /> SOIL <br /> 1= El P-Pounds <br /> Y-Yards <br /> ❑ m ❑ Q-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 40 CFR Part 261 or any applicable state law, has been properly described. <br /> dassified.and packaged, and is in proper conditionAr transportation according to applicable regulations. <br /> dA <br /> '� 0 2 1 6. 9 3 <br /> Generator Authonzed A§ent Name S to Shipment Date <br /> TRANSPORTER <br /> r..?.. _ _ 510-634-6850;; <br /> Truck No. : Phone No. <br /> Dillard Truckinc. Inc. <br /> Transporter Name Job t3Q4!2 Driver Name.(Print) <br /> R. 0.: Box 218 <br /> Address Vehicle,Ucense.NoJState ,.�,►`�o� � ' <br /> :. Byron. California 9.45IQ <br /> VehIcIO-Ci-Mcation <br /> hereby certify that the abov named-material was pick d up I hereby certify that the above named material was delivered with <br /> at the generator sit rat <br /> ` out Inciden o he destinatiDtt listed below. <br /> 0 1 6 9 3 f _ -- <br /> Drive!Signature Shipment Date ofiver skotattliv Delivery Dale <br /> DESTINATION <br /> B.F.I . Vasco Road Landf'_i 5 1. 0 . i <br /> Site Name Phone No. �- 4 1 7 O 9 <br /> 4001 Borth Vasco Rd. . L.J vermorif. Ca. 94550 ,Y <br /> Address <br /> k .�r <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the fore rue and accurate. <br /> 41 <br /> I / <br /> i <br /> i !game of AWhonZed Agont Signature 1lecalat Date <br /> I <br /> PASS GODE <br /> t01B6 r- BF1260-7, <br /> TRA -QRTER r r FAIN �� <br />
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