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COMPLIANCE INFO
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0518027
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COMPLIANCE INFO
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Entry Properties
Last modified
6/10/2020 5:20:37 AM
Creation date
6/3/2020 9:13:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0518027
PE
2220
FACILITY_ID
FA0013658
FACILITY_NAME
THE HOME DEPOT STORE #1006
STREET_NUMBER
250
STREET_NAME
COMMERCE
STREET_TYPE
AVE
City
Manteca
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
250 COMMERCE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0518027_250 COMMERCE_.tif
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EHD - Public
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0 <br /> MaBILL OF LAI <br /> 535 Getty Court, Suite H <br /> ENVIRONMENTAL SERVICES Benicia, CA 94510 Lading Manifest: 47917-08 <br /> CROUP (877) 748-3040. <br /> Western Region <br /> DELIVERY DATE JOB# <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> HOME DEPOT #HD1006 MANAGER ON DUTY <br /> ADDRESS PHONE# <br /> 250 COMMMCE AVE (209)825-9139 <br /> CITY,STATE,ZIP <br /> MANTE]CA CA 95336 <br /> CARRIER/TRANSPORTER PHONE# <br /> 21st CENTURY EW (877)748-3040 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> AERC <br /> ADDRESS PHONE# <br /> 30677 HUNTWOOD AVE (510)429-1129 <br /> CITY,STATE,ZIP <br /> HAYWM CA 94544 <br /> , <br /> z; 4fi i Ct <br /> f". P '^ 1 f r a <br /> 3�`. & ...2 " _, �;YSt�"; a.'.p <br /> Q <br /> INCIDENTAL) ®O, CF v' <br /> C <br /> X <br /> IunI3 lawI <br /> Special Handling Instruction and Additional Information: <br /> a) HOHETUBEC-83 - FLUORESCENT TONES (CRUSHED) - REC15 <br /> LEADftbf <br /> PROPOSAL#: 24 HOUR EKERGENCY CONTACT: (888) 451-8346 i l ntprborx <br /> Placards Provided YES-NO--V- Emergency Phone#(877) 748-30401 <br /> SHIPPER'S CERTIFICATION:I hereby declared that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed, <br /> marked,and labeled,and are in all respects in proper condition for transport by highway,vessel,and rail according to applicable international and national government regulations. <br /> (SHIPPER)PRINT OR TYPE NAME SIGNATOR MONTH DAY YEAR <br /> x �/�/ice � '✓Z'� x t ( r ev <br /> (CARRI ANISPORTER)PRINT OR TYPE NAME ATURE MONTH DAY YEAR <br /> x N� "l� S(N & x 0� l �' 6 Y <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE MONTH DAY YEAR <br /> x_ x <br /> Form#PSC-209-RV 9/07 <br />
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