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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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Waste No <br /> Systems T" <br /> ROWNiNG-FERRIS INDUSTRIES NON-HAZARDOUS Si--CCir►L WASTE MANiFCST <br /> GENERATOR <br /> generator Name t.\GC4L Aarketing Generating Location L\Cr'a_ Stag` 1163..? <br /> address P. O. Box 5155 Address 3788 Tracy Blvd. <br /> San Ramon, Ca. 44583 rTracy, CA <br />'hone No 5 i u — 2 % 7 2 3 6 $ Phone No <br /> IFI Waste Code O A 0 2 O 2 9 3 5 3 4 0 2 1 Containers Type <br /> Description of Waste Quantity Units No T[T D- Drum <br /> 0 - Cart <br /> B on <br /> 9 - Bag <br /> Non Hazardous Soil ❑ m ❑ T -Truck <br /> P- Pounds <br /> Y-Yards <br /> ❑ m ❑ O-Other <br /> 1 hereby certify that the above named material does not contain hue liquid as defined by 40 CFR Part 26010 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 properly described, <br /> classified and packaged, and Is in proper condition for transportation according to applicable regulations <br /> L_ r <br /> Itf - —,/ 1 0 17 L <br /> w*mWr Authorized Agent Name Sint" &*Xnart Dow <br /> TRANSPORTER <br /> 510-634-6850 <br />'ruck No. Phone No. <br /> Dillard Trucking Inc. 1431/93 6 bet my,, <br />-ransporter Name Driver Name (Print) 2 <br /> Iddress P. o. Box 218 Vehicle License NoMatlIe�� <br /> Ryon, California 94544 <br /> Vehicle Certification rr JJ i <br /> hereby certify that the above named material was picked up I b ce ate above named material was delivered with- <br /> it they ne for site b above o71eo a stinatton listed below <br /> '' pa + <br /> signature ShgmMi Date Driver&traduce 13*4srr <br /> DESTINATION <br /> Site Name <br /> R.F.I• Vasco Road Landfill Phone No 5 1 0 — 4 4 1 7 0 1 4 9 1 <br /> 4001 North Vasco Rd. , Livermore. Ca. 4550 <br /> address � <br /> hereby certify that the above named matenal has been accepted and to the best edge th going Is true and accurate <br /> Ah <br /> MEIR1 Auihonzed Apent S nature flsceiDi Dots <br /> PASS CODE l <br /> cares <br /> TRANSPORTER RETAIN <br />
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