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COMPLIANCE INFO_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0513865
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COMPLIANCE INFO_2019
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Last modified
8/6/2020 3:20:25 PM
Creation date
6/18/2020 3:23:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0513865
PE
2247
FACILITY_ID
FA0009487
FACILITY_NAME
UNIVERSITY OF THE PACIFIC
STREET_NUMBER
3601
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95211
APN
11314010
CURRENT_STATUS
01
SITE_LOCATION
3601 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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STRAIGHT BILL OF LADING—ORIGINAL=NOT NEGOTIABLE SHIPPER NO. <br /> r <br /> CARRIER NO. <br /> '4t* X01. �C ................... �.,�, �., �` � � `,�•E E <br /> 1 <br /> DATE <br /> C ERIn enium (Sacramento)(****E Rl PHONE-Cust ID#8766-0OQ4**** CAROW17 <br /> lk FROM <br /> CONSIGNEE SHIPPER <br /> AERC Recycling Solutions CAD982411993 (510)429-1 Universfty Of The Pacific <br /> STREET 3067/ Huntwood Avenue STREET 3601 Pacific Ave <br /> I <br /> Hayward , CA 94544 Stockton, CA 95211 <br /> DESTINATION STATE ZIP ORIGIN STATE ZIP <br /> ROUTE R U.S.DOT Hazmat Reg.No. <br /> Document D90968 Sales Order 1.69203 VEHICLE NUMB <br /> Total QUantity Weight <br /> Number and Type HM Description of Articles (friass.volulneJ (SUbject to Class or i <br /> of Packages Rate <br /> oractivity) correction) <br /> X UN3090,Lithium metal batteries,9 UW-Lithium Batteries NO P <br /> � Spent Alkaline Batteries UW-ALK <br /> Spent Nickel dmium Batteries UW-NICAD Batteries I J I)V( <br /> r1 4L1, ,K Spent Non-PCB Light Ballasts UW-NonPCB I � <br /> V�.00)( Spent Electronic Waste(Scrap) UW-Electronic Waste 4 rp <br /> 3" {A 4, 044? Spent Flotuescent Light Tubes UW-Fluorescent Lamps 7 2�VP <br /> t-'A z`5 Spent Mercury Vapor Lamps UW-SodurnVap :WP <br /> (,t Spent Electronic Waste(Scrap) UW-Electronic Waste <br /> Spent Electronic Waste(Scrap) UW-Electronic Waste 2 P <br /> v(l 1&0, ScKW L ) $ V ul-(. <br /> Receieed By: Date: <br /> Remit COD to: Subject to Section 7 of conditions,it(h1a - COD FEE: <br /> shipment Is to be delivered to the coast no- COD AMT: <br /> without recourse on the consignor,the <br /> Address: shell sign the following statement: consigner <br /> Zip: <br /> The carder shell not make delivery of this Prepaid ❑ <br /> City: State: Zip: shipment without payment of freight and all other ip Collect ❑$ <br /> =ant <br /> NOTE:Where the rate Is dependent on value,shippers are required to state specifically In writing the " TOTAL CHARGES: <br /> agreed or declared value of the property.The agreed or declared value of the property Is hereby FREIGHT CHARGES; <br /> specifically stated by the shipper to be not exceeding $ Per (Signature of Consignor) ❑Prepaid Collect <br /> RECEIVED,subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper,II applicable,otherwise to the rates,dasslfications and rules that have been established by the carder and are availat <br /> to the shipper,on request;and all applicable stale and federal regulations;the Property described above,In apparent good order,except as noted(contents and condition of contents of packages unknown),marked,consigned,and destined as Indicati <br /> above which said company(the word company being understood throughout this contract as meaning any person or corporation In possession of the property under the contract)agrees to carry to delivery at said destination,if on Its route,or otherwise <br /> deliver to another carrier on the route to said destination.It is mutually agreed as to each carrier of all or any of said Property over all or any portion of said route to destination and as to each party at any time interested In all or any of said Property that eve <br /> service to be performed hereunder shall be subject to all the conditions not prohibited by law,whether printed or written,herein contained,Including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and t <br /> assigns. <br /> NOTE:Liability Limitation for loss or damage In this shipment may be applicable.See 49 U.S.C.14706(c)(1)(A)and(B). <br /> This is to certify that the above-named materials are properly classified,described,packaged,marked,and labeled,and <br /> are in proper condition for transportation according to the applicable regulations of the Department of Transportation PER: <br /> SHIPPER: University Of The Pacific cdrtim (Sacramento)(****ERl <br /> PHONE-Gust ID#P76 <br /> F PI(4R00017 7 �� ►� 1 hit,�, <br /> C ( V DATE: r �r r <br /> EMERGENCY RESPONSE NAME OR CO OUACT U E <br /> TELEPHONE NUMBER: ©a �/f 3 8�5 OR OTHER U E IDE FIER: <br /> 12267(Rev.3/17) <br />
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