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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,CA 94510 Lading Manifest: 87844-09 <br /> GROUP (877) 748-3040 <br /> Western Region <br /> DELIVERY DATE IJO133984I519 <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> HOME DEPOT *HD1006 MANAGER ON TX TY <br /> ADDRESS PHONE# <br /> 250 COMMERCE AVE (209)825-9139 <br /> CITY,STATE,ZIP <br /> MANTMA CA 95335 <br /> CARRIER/TRANSPORTER PHONE# <br /> 21st CENTURY ENMONMEN'I`AL (877)748-3040 <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> AERO <br /> ADDRESS PHONE# <br /> 30677 HUNIVOOD AVE (519)429-1129 <br /> CITY,STATE,ZIP <br /> HAYWARD , CA 94544 <br /> f +Q.7'f. <br /> � <br /> ' � - .� ''tt"ti•.�+�� � �^" i Y. : v? �h/k��„'�gr»�r,�`°' �3+w`.aEr�is�!I t�': p, e°.�"��' �U$�YIUtY s,a,. <br /> A 'UNI REAL AS ( ILIVORKSCENT LIGHT TOOKS) <br /> INCIDENTAL Q CF ! P <br /> 8 L <br /> C <br /> A r <br /> D r r <br /> ( T <br /> Special Handling Instruction and Additional Information: <br /> a) HONEMIC-04 - CRUSHED FLUORESCENT LIGHT 'CUBES - REC15 NE or <br /> BA - REC24 REC41 FROP08AL4t 24 HOUR SNSRGENCY CONTACT: (881) 451-8346 <br /> lr-) wirreir). <br /> Placards Provided YES NO ✓ I �J(Frr 0 fu 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 SIGNATURE MONTH PAY YEAR <br /> x x 06 4? q <br /> (CARRIER/TRANSPORTER)PRINT OR TYPE NAME Si4a RE MONTH DAY YEAR <br /> x iz N� x — A;�; 06 23 a <br /> (CONSIGNEE/FACIUT`)PRINT OR TYPE NAME SIGNATURE MONTH PAY YEAR <br /> x x <br /> Form#PSC-209-RV 9107 <br />
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