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TOM FOWLER
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1265
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3500 - Local Oversight Program
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PR0505724
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Entry Properties
Last modified
5/8/2020 9:45:16 AM
Creation date
5/8/2020 9:32:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0505724
PE
2953
FACILITY_ID
FA0006963
FACILITY_NAME
GREYSTONE STATION
STREET_NUMBER
1265
STREET_NAME
TOM FOWLER
STREET_TYPE
DR
City
TRACY
Zip
95376
APN
24413039
CURRENT_STATUS
02
SITE_LOCATION
1265 TOM FOWLER DR
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SEP-07-.95 14 : I 1 FROM_ALTAI'�rT LANDFILL I D: S 1 04 381 PACE S/S <br /> GENERATOR'S WASTE PROFILE SHEET <br /> LNV <br /> F <br /> F. MWSICJ►L CS 00 WASTE (See Irlsuu 2io►s) <br /> t_ Color 2 tk+e�ttrauresis have 3 51ate 7Q Ft2y' 4_ UWws 5. CvavW 6. Free t wft <br /> a strung ineiderrW adoM 05M D hlA-t omd Q Yes *W <br /> &VOM it to a Yes;if w. o Lama o Powder fl s• , .� AM- <br /> vGturre <br /> deSorIM 0 Ota AM- <br /> 7. PK©=-2 -0.2-4 04-7 0 -1 C37-10 ❑3a-<Izs 0212s C3 ftxje E3 NA <br /> a pMn Point: Nnlane Q cf40-Fl� © 140-IW Mo-53°C ©SOOT-IS "C d Ciosed cup Q open Cap <br /> QCMM <br /> 1. <br /> 22 Jgo�-A Det"of ft to"awing? <br /> r .. (prrivide rx�erplydr lOn if lav—]n <br /> '6 IM or UM T14AM or ACTUAL <br /> 9L PCRt <br /> 13e so ppm PPM <br /> 96 f ydnidea * Q<3o.ppm WD <br /> % S e+a C-C M PPM PPM <br /> 'JL <br /> - 'a6 <br /> Totak ..�'•4 <br /> note_ UNerss armytad rsSu1L4 ati e4isti�red,thr3 rllertliCai�rrlpresit'6n mon 9tt0+jdfnclude.at a r:Iiltsnurn. .Banton. <br /> C4&na,m.Criromitan.W4 Mw=r/ Selemmn Sliver.PMOM i M MerbiCi w aid aw atherTrLP cormuLaelns dud rrray be <br /> pres2m in V%waste_ The ental aompnsmm must be Smiler than or aqual to 10[1'X. (Ago % 1 pent or 1 argil} <br /> 3 1nda�sfe ee1N[roa,lase m dr.Lemrlx oaer�amidon(p poviderd�: C3 TCtP TaM Q od"r <br /> N SMPL NG SOMM(.-g..Otur16 Lagoaa pp.P puL Tank Von �9xllef r <br /> L REPRESENTATIVESW93LECft"12P1 <br /> 1. PM Sahvws NaMrw ��S x. Sample Date,����,� - <br /> g. SaenrpUets Titles 1te c - „ - - - - <br /> 4. swnpkes EmpNnw Cd pthm thaw Oar o <br /> the aq I I submetee Ise cdfie wmrala 4==1 Ma aboas pari w 40 CFR OP.ao(c3 or = <br /> pileft ab <br /> .l. GENEtATM CER1 MATtOii <br /> By signing this profile 3lrer L the Garwawr COMM= <br /> 1. TM is na a*Marudous YI asW as def(ned by USEPA or CwWs pn Federal nopkItion wAtr tlta S=e4m vlra�. <br /> z. This r,gte does nor owftn requisted radloMOM maMipb or Mgufer W 90cm+tlal fbWo(F'aiyotdedrrataad SFphorryisi. <br /> 3. The WM'M ed partiong of this sheet anal the a teal tnsnts contain tree=W aoellrafe amC4 lorw*hila walla MovrW. AB mWvant urtarma!- <br /> tim regarda+g known or suspecto4 hazards we tfrs possession of the Generaiar 3w beer►alt -lei i . <br /> a The Generawr hat read and Und xis"Corltradee-4 D efin tion of Spedal Ws9M inefudadin Pari 64 d ft attached i =actions forrtL <br /> All type=s and anumpft of special wastes provided in ff=ditvw amounts hate beer#idwMed in"etiar$-t%of Vft term. <br /> 5. Vw anatyriew data presented herein or attached hereto were derived from texthy a mmmmUdhe sam;ft Hapten in aaoordanc9;*= <br /> 40 CFR 261.2o(C)or e0valerlt rulers. <br /> G. 6 any oranges axur in character of the waei'e.the Generator ShaA notify**C4r1ltra=prior to providing the waste to tre Camactor. <br /> 9. Name(TYPe ai Print) n� <br /> 0._ SMA t <br /> S- Yi4rcC- _ .�.! <br /> Mz2d= <br /> �rlur..aiSl � ' <br /> 58 }�tfd -t1N34438MG 1t DI2p1 'ZST5ZE858ZT OEM 5661/0Z/Ga <br />
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