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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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Waste No 951651 <br /> Systems TM NON-HAZARDOUS SPECIAL WAST MANIF <br /> IROWNING-FERRIS INDUSTRIES WASTE CST <br /> INOCAL Mark--- I. �tiOC- SLIL-a*s +163-8 <br /> generator Name Generating Location <br /> address P. 0. Box 5155 Address 3788 Tracv Blvd. <br /> San Ramon, Ca. 94583 Tracy�CrA <br />'hone No L-11 '1 0 — _7 7 2 3 1. 1 8 <br /> Phone No <br /> -1 I I I I 1 1:1 <br /> AFI Waste Code '� A 4 5 L0 ,1210 1 9 3 =4 4 0 2 Containers Type <br /> Description of Waste Quantl Units No Type 0 -Drum <br /> y �p T C- Carton <br /> L..� B - Bag <br /> Non Hazardous Soil T -Truck <br /> F-1L.� ❑ P - Pounds <br /> Y -Yards <br /> 17 El <br /> =0 0-Other <br /> I hereby certity that the above named material does not contain free liquid as defined by 40 CFR Part 200 � � ny applicable <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state taw, has,�ecrrty described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulpt(gns. <br /> { <br /> Z O Z <br /> enerem <br /> tor Authorized Agent Nae Signature ShOnent Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> ruck No Phone No <br /> Dillard Trucking, Inc. 1431/93 <br /> ransporter Name Driver Name (Pant),—, <br /> ddress P. 0. Box 218 Vehicle License NoJState -41qswgm� � Z -7 <br /> Byon, California 94544 � � <br /> Vehicle Certification—.. .. <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> t the gen rator site listed above out incident to the destination listed below <br /> f ; <br /> river ature Driver Signature D•IEvery Date <br /> DESTINATION <br /> Ite Name B.F.J. Vasco Road Landf f i l Phone No. S 1 0— <br /> 4001 Borth Vasco Rd., Livermore, Ca 94550 <br /> ddress <br /> hereby certify that the above named material has been accepted and to the best of y tcriowt07e fomgoin nd accurate <br /> Aftot Authorized 69ent S+ nature iDt Dat <br /> �PASSDE <br /> BFI260-720 <br /> TRANSPORTER RETAIN <br />
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