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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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BILL OF LADING <br /> 535 Getty Court, Suite H <br /> ENVIRONMENTAL SERVICES Benicia, CA94510 <br /> GROUP — (877) 748-3040 011S <br /> Western RcSion <br /> DELIVERY DATE JOB <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> Jjokgy�- <br /> ADDRESS PHONE# <br /> 250 CQMHE2C:P,' IMO� (209)825-9139 <br /> CITY,STATE,ZIP <br /> CARRIER/TRANSPORTER PHONE# <br /> " I SL cp - I M, '77)748- 3',M-Q! <br /> 4.1 IrfulzIL Mrr1,101MM AL (8 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> ALI IzC <br /> ADDRESS PHONE# <br /> 306,77 HUi!'1'W00I.') 'kNC ((:r10)42-9-1129 <br /> CITY,STATE,ZIP <br /> HAYMD CA 94-944 <br /> I �i ii 1 11 <br /> 1% 5 ': trgaill! <br /> U <br /> A 113 TZ LAMPS' FLUORESCENT LIGHT TUBES (BROXHIN <br /> INCIDUNTAL) u 00 P <br /> B <br /> C ry <br /> X <br /> —i WAN <br /> D X UN3120 BATTERIES, DRY, CONTAINING POTASSIUK RYOROX10K SOLID, <br /> (UNIVERSAL WASTE) 8 PGIII UNIVERSAL WASTE HIG054) 001 I)r. 0060 P <br /> Special Handling Instruction and Additional Information: <br /> HONETUDEC-01 - FLUORMCSTNT TUBES (CRUSHUD) - MIStt-j1*?FMHi-W THU., I.M.9) - He 6 <br /> d) HOHEALIBATMI - ALKALINE BATTERTRI R&RL <br /> VASTE' - RECH IIROVCSALI: 24 ROUR. SHERGENCY CONTACT: (860) 451-8346 A-A <br /> rqj <br /> Placards Provided YES-140-4,2— I k i r--rDd)o Emergency Phone#(877) 748-3040 <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 SIGNATU MONTH DAY YFAR <br /> x x <br /> -F-INT OR TfPE NAME SIGN-A-171 <br /> (CARRIER/TRANSPORTER) R MONTH DAY YEAR <br /> x w <br /> Q0l x bnn--"L- '4n�� 09 oq of,, <br /> (CONSIGNEE/FACILITY)PRINT OR TYPE NAME SIGNATURE MONTH DAY veata <br /> x x <br /> Form#PSC-209-RV 9/07 <br />
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