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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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�'- .►;t Waste No 1124719 <br /> _ Systems T <br /> f3 QWNING-FERM§INDf,1"FS NON-HAZARDOUS SPECIAL WASTE MANIFi <br /> GENERATOR <br /> Generator Name UNOCAL Narketin8 Generating Location UNOCAL Station 06348 <br /> Address P•0• Sox 5155 Address 3788 Tracy Blvd <br /> SAn f;<naaon, CA 94583 Tracy, CA <br /> Phone No ailil_ a <br /> 2 7 7 2 3 Phone No �— <br /> BFt Waste Code C A 4 0 5 I 0 2 b 9 3 6 4 i 5 3 Containers Ty; <br /> Descri tion of Waste Quantity Units --N�o� Te D- Dn <br /> YL <br /> NON HAZARDOUS SO0 0 0 I 8 i n i ) i I I C -Ca <br /> ❑ m ❑ T - <br /> P - Pot <br /> Y-Yap <br /> o-Ott <br /> EI= 0m 0 <br /> I hereby certify that the above named material does not contain free IJquid as defined by 40 CFR Part 2fi0 10 or any appflcabl <br /> state law,as not a hazardous waste as defined by 40 CFR Part 2fi 1 or any applicable state law, has been properly describe( <br /> classified and packaged,-and is In pr6per condition for transportation according to applicable regulations <br /> tienarator uttsorb sd Agent—nam IN Ict 1.3 1 <br /> Slgnatun ` — ` �` <br /> Shipment Date <br /> r , <br /> - Truck No Q COO PtloneNo (510) 534-6850 <br /> TrahsporterfVaMe DiZ3are$ Trucking, Inc. 1432/65 - <br /> Driver Name(Print) fir• ��jr <br /> Address 1'•O• Box 218-- / <br /> Vehicle License No/Stat <br /> B3►itoa<►s CA 945I4 " <br /> Vehicle Certification -7I0 �- / all <br /> I hereby certify that the above named material was picked yip J hereby certify that the above named material was delivered w <br /> ws:4t the enerato*site listed above Out inridgnt tp t - - tioi;i listed befpw <br /> , o - � <br /> Driver ignature Shipment Data Driver Sign ature I � � <br /> r Delivery Date <br /> DESTINATION <br /> Site Name S'R=S. V. . -Lssedfill <br /> Phone No S I 0 -- 0 <br /> Address 4001 ]!forth Vasyco Road. Livermore, iG/1 94550 <br /> r _ <br /> • I hereby certify that the above named material has been <br /> Rcce%ed and to the best of my knowledge the foregoing is true and accurat <br /> Na1ne of Authorized A ent Sf Halon <br /> r . <br /> "- PASS CODE <br /> OF12eb72 <br /> ` TRANSPORTER RETAIN <br /> , <br />
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