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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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�F +� Waste No 1124740 - <br /> TM <br /> 124740 <br /> BROWNING-FERFtI lNPbV"_. _ NON-HAZARDOUS SPECIAL WASTE MANIFE% <br /> GENERATOR <br /> Generator Name UNOCAL,,Mwr Generating Location <br /> Address P•0• RQx 5155 Address 3788 TracX Blvd <br /> San Ramon, CA 94583 Tracy, CA <br /> Phone No 1 3 1 1 0. _ j 2 1 7 1 7 2 3 6 8 Phone No <br /> BFI Waste Code C A 4 10- 15 1 O 1 2 1 6 9 1 3 1 6 42 6 1 =3 Containers Typt <br /> DDrur <br /> Description of Waste Quantity Units No T e C --Cart <br /> Cart <br /> © m C <br /> B - t3ag <br /> NON HAZARDOUS SOIL T -Truc <br /> DF] P - Poul <br /> Y - Yarc <br /> 1 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 IdLw, Is not a haj,-a ous waste at defined 4y 40 CPR Part 261 or any applicable state law, has been properly described <br /> glassified and packaged, and Is in proper condition for transportation according to applicable regulations <br /> E i Sign Shipment Data <br /> i <br /> TRANSPORTER <br /> phone No <br /> (320) 634-6850 <br /> T�,�rf�t#ar Nam O., Uwd Trucfcing. Inc. 1432/63 Driver Name (Print) P fir= <br /> �„�,... <br /> Address P.O. $ox pilo Vehicle License No/State �� �3 &j <br /> Byron, Ch -943-14 <br /> � Vehicle Certification � I�.L}���7f y 0 1 7 111 <br /> rTereb 'Cd�i al the abov8 named material was picked up I hereby certify that the above named material was delivered w <br /> at the.g rator Ite lists out In Id th dost at listed below <br /> • - / uc9t —7 99 <br /> river Signsture r� �, Shipment Date ver Signs re DelWary Date <br /> DESTINATION <br /> j ^Site Name B.>P.=. Vasco Rd. Landfill Phone No =4 <br /> 0 — <br /> A Address 4001 North Vasco Road, Livermore, CA 94550 <br /> 11 <br /> I hereby certify that the above named material has been accepted and to the best of my kno a.i a foregoing is true and acture <br /> 4f <br /> Namaof Authoriz .A t Si nature preosi t Date <br /> r _ <br /> `- • - PASS CODE <br /> BFI ; <br /> Y <br />
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