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Environmental Health - Public
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EHD Program Facility Records by Street Name
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ROTH
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2900 - Site Mitigation Program
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PR0506824
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Entry Properties
Last modified
4/7/2020 3:00:21 PM
Creation date
4/7/2020 2:49:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0506824
PE
2960
FACILITY_ID
FA0007648
FACILITY_NAME
DDRW - SHARPES
STREET_NUMBER
850
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19802001
CURRENT_STATUS
01
SITE_LOCATION
850 E ROTH RD BLDG S-108
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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• (14) Item 14. Unit (Wt. /Vol .) : Enter the appropriate <br /> abbreviation from Table II (below) for the unit of measure. <br /> Table II - Units of Measure <br /> G = Gallons (liquids only) <br /> P = Pounds (lbs) <br /> T = Tons (2,000 lbs) <br /> Y = Cubic Yards <br /> L = Liters (liquids only) <br /> K = Kilograms (kg) <br /> M = Metric Tons (1 ,000 kg) <br /> N = Cubic Meters <br /> (15) Item 15. Special Handling Instructions and Additional <br /> Information: Generators may use this space to indicate special <br /> transportation, treatment, storage, handling, disposal information, or bill <br /> of ladding information. <br /> (16) Item 16. Generator' s Certification: The generator must <br /> read, sign (by hand) , and date the certification statement. If a mode other <br /> than highway is used, the word "highway" should be lined out and the <br /> appropriate mode (rail , water, or air) inserted in the space below. If <br /> another mode in addition to the highway mode is used, enter the appropriate <br /> additional mode (e.g. , and rail in the space below) . <br /> • (17) Item 17. Transporter 1 Acknowledgment of Receipt of <br /> Materials: Enter the name of the person accepting he waste on behalf of the <br /> first transporter. That person must acknowledge acceptance of the waste <br /> described on the manifest by signing and entering the date of receipt. <br /> (18) Item 18. Transporter 2 Acknowledgement of Receipt of <br /> Materials: Same as Item 17. <br /> (19) Item 19. Discrepancy Indication Space: Refer to California <br /> Title 22, Section 67162; 40 CFR 264.72 and 265.72 for help in completing this <br /> part. In this space you must note any significant discrepancy between the <br /> waste described on the manifest and the waste you actually received. If you <br /> cannot resolve significant discrepancy within 15 days of receiving the waste, <br /> you must submit a letter to your DHS Regional Administrator describing the <br /> discrepancy and your attempts to reconcile it. A copy of the manifest at <br /> issue must be enclosed with the letter. <br /> (20) Item 20. Facility Owner or Operator Certification of <br /> receipt of hazardous materials covered by manifest, except as noted in Item <br /> 19: Print or type the name of the person accepting the waste on behalf of <br /> the owner or operator of the facility. That person must acknowledge <br /> acceptance of the waste described on the manifest by signing and entering the <br /> date of receipt. <br /> VIII-3 <br /> • <br />
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