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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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Waste No 951664 <br /> Systems �µ <br /> IOWNING-FERRIS fNDUS7R1ES NON-HAZARDOUS SPEVIAL WAS TE MAM EST <br /> E5 li <br /> e i <br /> I-VOCAL %farketiLig i_` )i:aL Static <br /> merator Name Generating Location <br /> idress P. 0. Box 5153 Address 3788 Tracv Blvd. <br /> San Ramon, Ca. 9w�83 Trac-, , CA <br /> ione No 5 i G -- 2 71 71 2 3 6:E Phone No <br /> I [-T I T-1 <br /> rl Waste Code C A •. 0 5 2 k 1= 5 3 w 0 2 Containers Type <br /> Description of Waste Quanti Units No Te D- Drum <br /> C-Carton <br /> 4 8 - Bag <br /> Hon Ha2ardous Soil F-1W E:] -Truck <br /> 1= 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 260 10 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 described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations <br /> r � <br /> ��,'L UtJQCAL f eO L 1 O Z �7 <br /> onerator Authorized Agent Name Signature Shipment Date <br /> . <br /> 510-634-6850 <br /> uck No Phone No ,e d <br /> artspiarter Name Dillard Trucking, Inc. 1431/93 Driver Name (Pring k F �u�! `� <br /> ddress P. 0. Box 218 Vehicle License NoJState 3 X C C <br /> Ryon, California 94544 3 cce/L <br /> Vehicle Certification <br /> hereby certify that the above named material was picked up 1 hereby certify that the above named material was delivered with- <br /> the generator site listed above out incident to a destination listed below <br /> rr D2- 10 V= 11131 �72 a2 3 <br /> liver signature shvnent Date Driver Signature Delivery Date <br /> DESTINATION <br /> ite Name E.F.I. Vasco Road i.andf>.i1 Phone No 5 1 0 1 <br /> 4001 North Vasco Rd., Livermore, Ca. 4550 <br /> ddress <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 /> JM <br /> Authonzed Agent S nature Fiecaie to <br /> PASS CODE <br /> O/BS 81 M-720 <br /> TRANSPORTER RETAIN <br /> T- <br />
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