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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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Entry Properties
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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No 1124729 <br /> $ TM <br /> C-f3FilS 1NON-HAZARDOUS SPECIAL WASTE MANIFEI <br /> BROWNING=Fr�p, tai3 <br /> GENERAT <br /> O. <br /> Generator Name UNOCAL Marketing Generating Location UNOCAL Station 06348 <br /> Address P-O- Box 51U Address 3788 Tracy Blvd <br /> San Ramon, CA 94583 Tracy, CA <br /> Phone No 5 1 0 2 7 7 2 3 b 8 Phone No <br /> BFI Waste Gone C A 4 O 5] F1701 2 b 9 3 6 r 1 6 3 1 Containers TYp( <br /> Description of Waste Quantitv Units No T e 0- Drui <br /> C -Can <br /> NON HAZARDOUS SOIL 0 0 0 1 8 T B - Bag <br /> T -Truc <br /> El m F-1P - Pau <br /> Y -Yarl <br /> ❑ m ❑ O C+th <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicablf <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 proffer condition for transportation according to applicable regulations <br /> Ct <br /> _GilneratorAifthorized°Aggro Name Signature Shipment Date <br /> TRANSPORTER <br /> Truck No Phone No (510) 634-6850 <br /> Dillard Trucking. Inc. 1432/65 <br /> TraAsportAr Name Driver Name (Print) . <br /> Address P.O. Box 218 Vehicle License No(State.Aa 45? rU�_ <br /> Byron, CA 94514 Vehicle Certification _ <br /> 2!1J2 <br /> t the above named material was picked up I hereby certify that the above named material was delivered K <br /> `il Irte�en site ilsted above out Incide 'Wthe destination listed below <br /> 11 [a <br /> r ature Shipment Date ver Signa Delivery bate <br /> DESTINATION <br /> Site Name B'R~I. Vasco Rd. Landfill Phone No 5 1 0 —14 4 7 0 4 9 <br /> Addres$ 4001 North Vasco Road, Livermore, CA 94550 <br /> i hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing Is true and accur, <br /> Name of Authorized Ageni Signature \, Recel t De <br /> PASS CODE <br /> BFi2aa <br /> _ 7rAA\1[�P1f1�TC� L]CT/ll\! <br />
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