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COMPLIANCE INFO_2020
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0514115
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
2/5/2021 5:19:58 PM
Creation date
5/18/2020 3:06:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0514115
PE
2248
FACILITY_ID
FA0003934
FACILITY_NAME
Lawrence Livermore National Lab - Site 300
STREET_NUMBER
15999
Direction
W
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
15999 W CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Straight Bill of Lading-Short Form-Original-Not Negotiable Shipper's Number. s-06/202019 Date: 6/20/2018 <br /> Shier(from) Consignee(to) <br /> LPNRENCE LIWRei NATL Site 300 POR NNSA Altamont Landfill 6 Resource Recovery <br /> corral se110v Road Altamont Been Raad *GT+* <br /> site 300 <br /> Stacey, G 95376 Livermore, CA 94550 <br /> Technical Contact: Contact Name: <br /> Job/Work Order. <br /> Route: Reference x: <br /> No. Weight <br /> Shi Description of Amkks,SPxkl Marks,and Exceptions <br /> Units Type of package NM (Subject to Correction) NMFC Item Na. flats pace (Subject to <br /> Cone[tienl <br /> 1 xxvice, ➢OMP Uncontaminated construction debris and weathered wood product¢ (utility 5,000 Its <br /> poles cut into small vection <br /> W THE EVENTOFAN EMERGENCY,TELEPHONE (925) 423-4205 -24 HRS u�xµe we:y sh.i. .o��m ue-e.rec-"as, 5000 Ibis <br /> 1 ..Total Pieces C.Itter Registrant Nameor Corrtract Number LLNL .R m.wry u..ew is.'p.e,we.ne 2268 kgs <br /> FREIGHT CHARGES x this shipment is to be delivered to the This shipment is On behalf of Me US.Department of Energy and the actual toot Remarks: <br /> ARE Consignee without incase on the transportation charges paid to Me Carriers)by the consignor or Consignee are <br /> cons0 Prepaid followiingr,the consignor cratemers,Me cartiler'shall not the terms and toad tion the assignable to and llnb sPettf nine thby���f mleof Me US Government <br /> nt and is subject to Altamont Profiler 62127G <br /> ❑ Colleat make deliver,of this shipment vel Bill of Lading and to any available special rtes or charges <br /> ❑ 3'a Party paylrem of freight and all Other lawful (41 CFR 109-40.50 and 41 CFR 109<0.3) <br /> charges. i] Yes ❑ No <br /> (row Stull l¢) O.S. NNSA <br /> SECTION 13]12/10]21 RATES APPLY-TENDER N0. <br /> Received subject R individual,determined Coes or common MW been been agreed upon In wolfing between the order and Amps,if appliude,otherai eto the rams.daxi6nNans and miss that Were been estabrrshed by Me carrier and <br /> vaibblete Me shipper,on request Me Property deuribeel above,in apparent good order excepts,noted(Cometh,and conditions of contents of packages unkrwwp second,wmiened and destined-shown herein,which mid <br /> camer(Me word carrier being understand Mmughout this contract as meaning any person or wrporefion in poueirion of the Property under Me Contract)agues 10 carry b in usual place of delivery at Combustion,Non is now, <br /> mMemdu to delmerto another canner on Me mute to said dembnalon. It Is muWallyagrand.unkn otherwise spni6ully noted in nominally described now and conbaces Net have been agreed upon In rami between the Amer and <br /> shipee as b each cameralall orany of said Property over allorany gonion of mid on to Conduction,and asm each parry M anytime interested in all or any of met prispeni thatevery Aware to he performed hereunder shill be subject <br /> Wall the terms and conditions of Me Uniform Domestic Straight Bill of lading utforth(1)In Uniform Freight ClattNlotion In effect an the date M1ertof,if Nisi be rail or ng-xaorshipm t.orDD in Me applicable motor comer classification <br /> m'oriff if Nis is a motoranlerfiipment Shipper hereby Certifies they are famlloviith all terra and conditions office said bill sliming,art WON In she Classification orbnff whkh govems Ne transportation of eels shipment and the mid <br /> Isms and conditions are hereby agreed M by the shipper and accepted for hied er and Neir auigm. <br /> This is to Carl that the above named materials are properly classified dissented,packaged Taller Loaded by. 19 Shipper ❑ Driver Placards Required: Label(s)applied: <br /> marked labeled and are in proper Condmon fortransporeatien according to the applicable <br /> regulations ofthe Department of Tramportetion(Applicable for Hazardous Materials Only) Freight Counted by. <br /> ❑ Shipper <br /> Shipper Coding under contract D8-Ae52-07R 7344 I with the ❑ Drive,Lame Is. <br /> U.S.Department of Energy. ❑ Drive,pallet mid to mnoin <br /> Law —. Livermore National Laboratory Site 300 ❑ Cane,pallets cocturing Carrier. Get. / Gove t Tru <br /> Raba nett Vehicle/Car No: <br /> Per Date 6/20/2018 !wi Pec DataCl <br /> TRANSPORTATIONTRANSPORTATION DEPARTMENT-PERMANENT POST OFFICE ADDRESS OF SHIPPER PAGE OF <br />
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