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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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PWaste No 951686 <br /> Sy�StnS TIE NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> WN1NG-*MRFUS WD1JS1*E8-- - <br /> GENERATOR <br /> Generator Name UNOCAL Marketing Generating Location UNOCAL Station 86348 <br /> Address P. 0. Box 5155 Address 3788 Tracy Blvd. <br /> San Ramon, Ca. 94583 - Tracy, CA <br /> Phone No 5 i 0 1 2 7 7 2 3 6:E8 Phone No L_._tom <br /> BF1 Waste Code C A E 0 2 0 2 9 3 3 3 4 0 Containers Type <br /> Desch tion of Waste Quantity Units No Me D-Drum <br /> C-Caston <br /> B - Sag <br /> Non Hazardous SoilEl F-1 <br /> T -Truck <br /> � P - Pounds <br /> Y -Yards <br /> F� Elm F7. <br /> 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�ondibon for transportation according to applicable regulations <br /> rr r <br /> a Authorized Agent Name Signature Shipment Data <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No. Phone No <br /> Dillard Trucking Inc. 1431/93 Driver Name Print f�VZ� /.xL11�s�-io� <br /> Transporter Name (Print) � - <br /> Address P. 0. Box 218 Vehicle License NoJStatefir6 Q <br /> Byon, California 94544 / <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up t hereby certify that the above amed material was delivered with- <br /> at the nanerator site listed abave. out Inci ent to the destinati listed below <br /> o <br /> ignature Shipment Date n Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco (load Landi ill Phone No 11=_1 0 — 4 4 17-10 9 1 <br /> 4001 Borth Vasco Rd. , Livermore, Ca. 4550 <br /> Address <br /> reby certify that the above named material has been accepted and to the best of ywledge the foregoing is true and accurate <br /> Name of Authonzed A ent Signature_ ', Receipt Date <br /> PASS CODE <br /> 10186 <br /> BF1260-720 <br />
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