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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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rosp <br /> � <br /> Waste No 1124711 <br /> =Bao IN - 1NON-HAZARDOUS�N C4ER SPECIAL WASTE MANIFE% <br /> GENERATOR <br /> r / <br /> Generator Name UNOCALilarketIng Generating Location L"NOCAL Station 06346 <br /> Address P.O. Sox 3153 Address 3788 Tracy Blvd <br /> San Ramon, CA 94583 Tracy, CA <br /> Phone No 5 I 0 — 2 7 7 2 3 6 8 Phone No <br /> BFI Waste Code C A 4 0 5 1 0 2 6 1 9 1 3 6 4 1 5 3 1 Containers Typ( <br /> Description of Waste Quantity Units No T e D- Orur <br /> C -Can <br /> NOH HAZARDOUS SOIL 0 0 0 1 8 ❑Y T B - Bag <br /> T -Truc <br /> ❑ ❑ P - Pou <br /> Y-ur( <br /> 1 -T I I I F� E] . O.CM <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable <br /> state law, is not a'hazardous waste 4s 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 /> \ v a , 9 <br /> Generator Autho game signature Shipment Data <br /> TRANSPORTER <br /> �F Truck ft. Phone No (110) 634-5850 <br /> Trane iter N s Dillard Trucking, Inc. 1432/65 <br /> � Driver Name (Print) e <br /> Address P.o• Dox 218 ' ` <br /> Vehicle License No IState&z6 <br /> - Byron, CA 94514 4140:2 <br /> 40� S�y <br /> Vehicle Certification <br /> hereby cert Vn above named material was picked up I hereby cert, hat the above named material was delivered N <br /> at the ge r4bove. out Incide destination listed below <br /> Q .2 <br /> Driv shipment Date Drive ignature Delivery Date <br /> DESTINATION <br /> Site Name R'F'l• Vasco Rd. Landfill g 1 0 <br /> Phone No <br /> -Address 4001 Mortbt Vasco Road, Livermore, CA 94550 <br /> •�f rabxaertitythat1t6.abovo named material has been accepted and to the best of my knowledge the foregoing Is true and accure <br /> Name of Authorized A nt SI nature face, t Date <br /> PASS CODE <br />
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