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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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s — - <br /> ; Waste No 9 5 I G G 9 <br /> Systems T, <br /> 3ROWNING-FERRIS INDUSTRIES NUN-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> 3enerator Name zNOCAL Marketing LNOCAL SL—i. c ►63..1; <br /> Generating Location <br /> 4ddress P. 0. Box 5155 Address 3788 Tracv Blvd. <br /> Sale Ramon, Ga. 94583 Tracv, CA <br />-'hone NoEETO�—[_.j78 3 6 Phone No <br /> 3FI Waste Code C A — 0 2 0 1 9 3 5 3 4 0 2 Containers Type <br /> Descri tion of Waste Quantity Units No T D-Drum <br /> TC-Carton <br /> T B-Bag <br /> Non Hazardous 5o i 1 ❑ m T -Truck <br /> E] P-Pounds <br /> Y-Yards <br /> ❑ m ❑ O-Other <br /> I hereby certify that the above named material does not contain free 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 descnbed, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations <br /> Fa12 UU0C A L- L=d 07- 1,1 ,7131 <br />.krwator Authorized Agent Name signature W*wnW Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> truck No <br /> Phone No. <br /> transporter Name Dillard Trucking, Inc. 1431/93 Driver Name(Print) Oil 5 <br /> kddress P. 0. Box 218 Vehicle License NoJState L�f� <br /> Ryon, California 94544 13 <br /> Vehicle Certification <br /> 1 hereby certify that the above named material was picked up I hereb certify that the above named material was delivered with- <br /> at th enerator site#ed above out I nt to the destination listed below <br /> kmer Sognatuig Shipment Data DHNery Date <br /> DESTINATION <br /> 3,te Name B.F.I. Vasco (toad Landfill f l l Phone No 5 1 0 — 4 4 7 O 4 9 1 <br /> address 4001 North Vasco Rd. , Livermore, Ca- 4550 <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> of Authorized Agent nature HeCelpt Date <br /> qW <br /> PASS CODE <br /> 0198 BR260-720 <br /> TRANSPORTER RETAIN <br />
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