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ARCHIVED REPORTS_XR0007995
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3425
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3500 - Local Oversight Program
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PR0545737
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ARCHIVED REPORTS_XR0007995
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Entry Properties
Last modified
6/8/2020 11:36:57 AM
Creation date
6/8/2020 10:11:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007995
RECORD_ID
PR0545737
PE
3528
FACILITY_ID
FA0003627
FACILITY_NAME
ARCO 02093
STREET_NUMBER
3425
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21418020
CURRENT_STATUS
02
SITE_LOCATION
3425 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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V.YS'« ;'� - -.,�i^„'� ��<�.�j-r�y T•y�• ,,�,'. <br /> "i e:;1 <br /> r <br /> }4'a• ?7Y `.[SJ} 1'}AfTi.+ty'� <br /> -� <br /> k� yY, fa.v ''. t-iV_;- �n - <br /> 5~w <br /> _ -j.1- ':�F <br /> I hereby certify that the above '01 oontald liquid as definer! by-40+CFR Par#260.10 or arty Cpl GAL <br /> state taw. Is not a hazardous waste o f y 0 CFR Pa 6t;�r,'tny applicable state favi[. fins #een_properly de <br /> + classified an� et and is jr t `” �rtranspotta�lon aCcordirig 4o applicable negulafio'rrs.-- <br /> rcti„i ; <br /> +M�7�0• 634-6 <br /> Dillard Trucacit*.1-j:ik >1b04 21 <br /> Transporter Name` - ; ROriv nine Print <br /> t '”A <br /> r.b:�oxV218 <br /> Ldress Vehlc''ie)Jcense No <br /> ^1( �/'yr . r��,til <br /> ayroti. _t.A 94514 _ =w w � *�= ,r � 3J LJ `.C� <br /> --- - -- -, ._.�` k I <br /> -WhIcleOertification <br /> Le'-b'-k,`certjfy that the above named material was picked up I hereby,0ertify that the above named material was deirvered with- <br /> at the generator site listed above out Incident o the destination listed below <br /> river Signature Shipment Dat D r Signature Milli <br /> DESTINATION <br /> S.F.I. Vasco Rd. Landfill P.O.#02-10028 5 1 04 4 7 4 4 9 1 <br /> ite Name h Phone No ` <br /> 4001 North Vasco Road, Liverso", CA 94550 <br /> Address <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> me of Authorized Agent nature Receipt Date <br /> f <br /> V PASS CODE <br /> BFt280.720 3!9 <br />
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