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ARCHIVED REPORTS_XR0007612
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TRACY
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3788
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3500 - Local Oversight Program
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PR0545739
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ARCHIVED REPORTS_XR0007612
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Last modified
6/8/2020 12:38:11 PM
Creation date
6/8/2020 12:16:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007612
RECORD_ID
PR0545739
PE
3528
FACILITY_ID
FA0006002
FACILITY_NAME
UNION OIL #6348
STREET_NUMBER
3788
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21225002
CURRENT_STATUS
02
SITE_LOCATION
3788 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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r <br /> Waste No 051683 <br /> Systems 7µ <br /> FIOWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> [;FOCAL Marketing LNOC1L Statzo<< 1,J348enerator Name Generating Location <br /> ddress p• 4. Box 5155 Address 3788 Tracv Blvd. <br /> San Ramon, Ca. 94583 Tracy, CA <br /> hone No 5 1 0 — 2 7 7 2 3 6 8 Phone No <br /> Ff Waste Code C A 4 0 5 2 2 5 3 4 0 2 Containers Type <br /> Description of Waste Ouantl Units No Tvoe D-Drum <br /> C-Carton <br /> 8-Bag <br /> Non Hazardous Soil a I—�-1 ❑ T-Truck <br /> P-Pounds <br /> Y-Yards <br /> ❑ m I -1 <br /> � O-Other <br /> —i <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFA Part 260 10 or any applicable <br /> state law, Is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been property described, <br /> classified and�packaged, and is in proper condition for transportation/according to applicable regulations <br /> p / Vp7 OC o Z U -7 ? <br /> enerator Authonzed Agent Name Signature Shipment Date r' <br /> TRANSPORTER <br /> 510-634-5830 <br /> ruck No Phone No <br /> ransporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Pnnt) <br />,ddress P. 0. Box 218 Vehicle License NoJState /0' <br /> Byon, California 94544 96 ? 76 2 <br /> Vehicle Certification_T ' — 7 <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered wdh- <br /> t the ge for site Itstod above out incident to a destinatio steel below <br /> I 0 XEM -//�P"'_�-' / 61 <br /> Signature Shipment Date r rg Delivery Gate <br /> DESTINATION <br /> Me Name B.F.I. Vasco Road Landfill Phone No 5 1 0 _ 4 4 7 0 4 9 1 <br /> 4001 North Vasco Rd. , Livermore, Ca. 4550 <br /> kddress <br /> hereby certify that the above named material has been accepted and to the best mooted a the fois true and accurate <br /> r <br /> of Authorised Agent nature Remot Dat <br /> PASS CODE <br /> oras 8FI260-720 <br /> TRANSPORTER RETAIN <br /> t._ <br />
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