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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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CORRAL HOLLOW
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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-08202038-1 Date: 8/20/2018 <br /> Shier(froma Consignee(to) <br /> LRNReN¢ LIVEpbgpB NATL Site 300 MR NNSA Altamont Landfill E Resource Recovery <br /> Corral Hollow Read Alrament Pass Road *GT+* <br /> Site 300 <br /> Tracy, G 95376 Livermore, G 94550 <br /> Technical Contact Contact Name: <br /> Job/Wolk Order: <br /> Route: Reference N: <br /> No. Weight <br /> Shipping Typedpxkage HM Description of Articles,Special Made,and Exceptions NMFC IWm No. Class Rab (Subjec[ro <br /> Units (Subject to Cpmec[ion) Carrec6en) <br /> 1 TRUCK, DUb@ Uncontaminated c netructian debrie and weathered wood products (utility 51000 lb <br /> peledr out into small caption. <br /> 1 «Total Pines IN THE WENT OFAN EMERGENCY,TELEPHONE (925) 423-4205 _24HRS u wiwx�uNoim PoaWgnm,xce,.u..n. 5000 Los <br /> Concept or Registrant Name,or Contract Number LLNL ^°°'N."'^in°am�a^^r.;mm^m'^ 2268 kgs <br /> awas <br /> FREIGHT CHARGES If this shipm <br /> statement is to be delivered to the This shipment is on behalf a th U.S.Department of Energy and Mm <br /> e actual al Remarks: <br /> ARE .,I'm-withoutecourse on the tanponation charges paid to Mcement)ecement)by Me consignor or consignee are <br /> consignor,the consignor shall sign are assignable to,and shall be reimbursed by,Be U.S.Government and is subject to Altamont Profile# 62127G <br /> 0 Prepaid following summers The canner shall not the terms and conditions set forth in Me nrimund form of the US.Goverment <br /> ❑ tallest make delivery of thisshiprtem without Bill of Lading and to any amelablespedalrmes sr charges <br /> ❑ <br /> 3"Party payment of height and all other lawful (41 CFR 109-00.50 and 41 CFR 1N-Q.3) <br /> charges. 0 Yes ❑ No <br /> (see Remarks) U'S' NtaSA <br /> SECTION 13]12/10]21 RATES APPLY-TENGER N0. <br /> Received subject to Individually determined raw or contracts Mat have Leen agreed upon In vslting between Me carrier and shipper if applicable,otherwise W the ate;danifm6ons and mics that haw been moublished by are artier and <br /> svailable W Me shipper,on reqpa <br /> u al The property described above,in aprent good more,except noted Harms <br /> eand crni ifons of moment of paM <br /> ckages unawnl marked consigned and watch as shown herein. M1 said <br /> center Uhe word carrier being understood Mroughout this mmntt as meaning any person or mryomtian in possession of the property under the cantncU agrees to carry to Be usual place of delivery at aid destinafon,if on its mute, <br /> ,insurers to deliver to another carrier on Me route to aid transition. His mutually agreed,unless otherwise eventually mud in Individually determined Now and mntrub Mat have been agreed upon in writers bervrcm Me order nd <br /> shipper,as to each center m all crony of said property ever all or any portion of said mine to saturation,and oto sun parry M anytinro interested In all or any of mid pmpeny,tMtewry semre W be performed hereundashah besubject <br /> to a0 one bent and conditions of are Uniform Domestic Straight Bill of lading sR fait(1)in Uniform Freight nassaimtian in effect an are data hereof If this is ail or researcher shipment or(2)in Me applicable nwtor center classification <br /> or hnN if this Is a motor aniershipment Shipper hereby certifies May are familiar wish all terns and mnditiom of she said but mlading, at Had,in Me dare fmtion or HIM which gowms the maintained—of this shipment and Me aid <br /> term and wMitions are hereby agreed to by the shipper and auepatl for hi transverse and Meir assigns. <br /> This is to cenify that the a owe named materials are property classified,it accrued,packaged. Trailer Loaded lag Shipper Cl Driver Placards Required: Labu1D)applied: <br /> marked,labeled and are In proper condition foraminsportation according W the applicable <br /> regulation of the Derailment of Transposition(Applicable for Hazardous Materials Only) Freight Counted by'. <br /> ❑ Shipper <br /> Shipperaetln9 under contract DH-AC52-0]LU2]344wa the ❑ Ddve,Lou.Pieces <br /> U.S.Department of Energy. ❑ Driver pants said to comnm <br /> Lawrence Livermore National Laboratory Site 300 ❑ Driver pallets wmaining Canine G / Go t Truck <br /> Vehicle/Car No.Robe/r,E/r'-'etL Px Dafe'. <br /> p,(J Date 8/20/2018 seal: <br /> TRANSPORTATION DEPARTMENT-PERMANENT POST OFFICE ADDRESS OF SHIPPER PAGE OF <br />
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