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ARCHIVED REPORTS_XR0011622
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MCDONALD ISLAND
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2900 - Site Mitigation Program
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PR0506431
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ARCHIVED REPORTS_XR0011622
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Entry Properties
Last modified
3/13/2020 1:29:45 PM
Creation date
3/13/2020 10:29:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011622
RECORD_ID
PR0506431
PE
2953
FACILITY_ID
FA0007420
FACILITY_NAME
TURNER CUT STATION
STREET_NUMBER
0
STREET_NAME
MCDONALD ISLAND
City
HOLT
Zip
95234
CURRENT_STATUS
02
SITE_LOCATION
MCDONALD ISLAND
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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03/19/97 10:57 PRODUCTION OPERRTORS 3 915107320143 NO.092 P004 <br /> 'MANLEY & SONS` No. I <br /> Trucking&Eauimeht Renta( <br /> cnsrsz�u 8896 Elder Creek Roel <br /> t 1: Sacramento,CA 95824 NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> r GENERATOR- <br /> Generator <br /> . + . .Generator Name PIROfICTION OPESAMES INC Generating Location NfC'0ati.ATfl rcr <br /> INC, FSI•. <br /> Address i�G E01An-Ir") Address,.. ? ";1 1 11'7 s•raT,.nom <br /> Phone No. 1 S 91 1 7 Phone No. FTT�_ �- ;zLTI ;17, <br /> Waeta/Acceptance CodeI I 1 1. Containers Type <br /> Description of Waste Quantl units Nc_ tTr <br /> D'4rir^C-Carton <br /> -Bag <br /> t GON"£Et.MIV?sTED SOILT(''� T.TruCk } <br /> { W ! I I P-POto <br /> u �J y-Yards <br /> �- ❑ � � O•Other r <br /> i <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CPR Part 266.10 or any applicable <br /> state law, is not a hazardous waste as defined by 40 GFR 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 regulations. <br /> '` -�� r a U- <br /> 1-Generator A Agent Name Signature Shipment oate <br /> 1 a • <br /> �..Truck No. -- Phone No. .916-381-6S64 <br /> Transporter Name SOtiS privet Name(Print) Val <br /> Address 8895 ELDER 2SEEK <br /> ROAD Vehicle License No_/State 9W& z3 x_ � <br /> SACR4MENT'0. CA 95825 Vehicle Certification l � _Z22(6T__ <br /> I I hereby certify that the above named material was picked uti l hereby certify that the above named material was delivered with- <br /> at the ene :;e ' ted abi'ove. put in - ent t the tination ted below. <br /> river signature shit Gane ivgr ftnatum Dalive/y Data <br /> F: Site!Jame TI'S-TrC�Qi,OCI£S I:dC. _ _ Phone No. [Ai _LJ�J— � R 71 7A 1 <br /> 20 RFCYcL I\,G LA.NE - RICHMOND. CA 9480! ^ <br /> I Address <br /> it +' # hereby certify that the above n material has been accepted and the best of my knowledge the foregoing is true and accurate. <br /> a Lil # I <br /> Name of Authorlxed Aftnt q Dits <br /> r <br /> € PASS CODE <br /> White-DESTINATION Yollow-UNLOADING Pink-TRANSPORTER Gold-GENERATOR <br /> F. <br />
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