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FIELD DOCUMENTS_FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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6633
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2900 - Site Mitigation Program
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PR0528433
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FIELD DOCUMENTS_FILE 2
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Last modified
4/3/2020 2:41:04 PM
Creation date
4/3/2020 2:21:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0528433
PE
2957
FACILITY_ID
FA0019174
FACILITY_NAME
CHEVRON SERVICE STATION 9-6171
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
02
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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y. • 7 k <br /> IWM, Inc <br /> INTEGRATED WASTESTREAM MANAGEMENT,INC. <br /> 1945 Concourse Drive,San Jose,CA 95131 1708 <br /> PHONE: 408.433.1990 FAX: 408.433.9521 <br /> CERTIFICATE OF DISPOSAL <br /> Generator Name: Chevron Products Company Facility Name: Chevron Station#9-617.1 <br /> Address: 6111 Bollinger Canyon Road Address: 6633 Pacific Avenue <br /> San Ramon,CA 94583 Stockton,CA <br /> Contact: Stephanie Furgal McKenna Facility Contact: Eli Scott,HFA <br /> Phone: 925-543-2349 Phone: 805-641-4091 <br /> i <br /> iwlvl Job#: 98792-DS <br /> Description of Waste: 44 Drum(5) Of <br /> Non-Hazardous <br /> Soil <br /> Removal Date: 8/31/09 <br /> i <br /> Picket#: SS253 <br /> i <br /> Transporter Information Disposal Facility Information <br /> Name: IWM, Inc. Name: Republic Service Vasco Road Landfill <br /> Address: 950 Ames Avenue Address: 4001 North Vasco Road <br /> Milpitas, CA 95035 Livermore, CA 94550 <br /> Phone: (408) 942-8940 Phone: (925)447-0491 <br /> IWM,INC. CERTIFIES THAT THE ABOVE LISTED NON-HAZARDOUS WASTE WILL BE <br /> TREATED AND DISPOSED AT THE DESIGNATED FACILITY IN ACCORDANCE WITH <br /> APPLICABLE FEDERAL,STATE,AND LOCAL REGULATIONS. <br /> 2. <br /> William T. Delon 8/31/09 <br /> Authorized Representative (Print Name and Signature) Date <br /> I <br />
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