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COMPLIANCE INFO_2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0538350
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
8/18/2020 10:17:26 AM
Creation date
7/9/2020 2:35:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0538350
PE
2220
FACILITY_ID
FA0012734
FACILITY_NAME
SAFEWAY STORE 1769
STREET_NUMBER
2808
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2808 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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Please print or type . Form Approved . OMB No . 2050 -0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21 . Gewarorlit " r MPage 23 . Manifest Tacking Number <br /> (Continuation Sheet) CAR 000 247 211 7 n ? n &; qnqlf; . l tK <br /> 24 . Genearoh Name <br /> SAFEI0AY 1769 <br /> 25 . T2repMer _ Lanparry Norte U . S . EPAIDNumber <br /> 26 , TruspMor _ Lanparry Name U . S . EPA IO Numbu <br /> 27a 22b . Us . DOTI )wa nCmc rag PmperSh ping Nmre , Hawtlgss , IDN r, 2e . anwpa 2g . Tataf 30 . um <br /> His aw Patlagrwup (Amry) ) No. TYpa DuanMY WINOL JI . Wasle Catles <br /> 05 UN1014 , 1AiAtsle Maldas, Si; [ W, 4 . 1 , PGIII, ERG #133 001 OF OWI P 0001 141 <br /> 08111N1057 , 1 &SIO Criers , 2 . 1 ( DOTSP 13179) , ERG #115 OO1 OF 0007 P D001 331 <br /> O7 RQ , UN1S519Vdatte Medk31ie , LigUilt , TOXIC, N .O .S ( SOJer, 002 DF 00007 P D007 DOIC D01 <br /> Chonimn) , 6 .1 , PGIII , ( RQ : DD71 ) , ERG # 151 331 <br /> 0 03 UN3248 , Wade Me#dne, Liquid , Flmnabfe, Toric, n . os . 001 OF 00001 P D001 <br /> ( Creset , Resoriami) , 3 , (6 . 1 ) , PGIII , ERG $ 131 <br /> OW <br /> DW 31 <br /> O9 11111113210 , Vhate 1.1edciMs , seed , teat, nos . (Residue 001 OF 00001 P P001 311 <br /> Conta "med ; Viutmin ) , 6 . 1 , PGII , ERG # 151 <br /> 10 Non4iCRANa3511111DQaUS Mlle , Liglid ( Cons2aaer ProdUCts) 014 DF 00269 P 331 <br /> 11 UN10113 , CWbon Dim11dD , 221 ERG #120 002 DF 00029 P 141 <br /> � s tl( Pd SVP ° DEiTFD 6 . A85MVI11ABSK" ll - UGMERS 7 . ABSMV171ABSlmOTC PRA1tMACEamCAGs <br /> O . AB :EH %%R (021A Mi%% O2 - FUUYFDXIC PUMMACBJTIrMSAtiD FFE O . AB M%RK04IABStiWR l EM7ly pLUSIED BU " ES , <br /> Gk : fthCxAW4 . R * ; " Cb ; : Q . OM %%* o .11 10 . A6SltRWi / ARShcH1l01 - SDQEREGfUQEDUGAtD56SXlDS 11 . ASSNM19Tf <br /> ABSRMw - CO2 CYUt10ER ,S <br /> nTorep _ ARom tdWlwaH <br /> WeartlpwName 89Mwn War year <br /> J4aTm W _ AckgaleirPopelNdxs <br /> PnI m 1pedflane Sym wn Dry rem <br /> al ) y <br /> LL <br /> a36 . Na : amwsvexsla RepnnManagememMeiw Dw00 . 0 . , cadasrorluramw9 wasewmnem . dspmal . am mndire .yaremot <br /> 05 H132 06 H141 07 H710 08 H141 09 H141 <br /> 10 M32 11 H132 <br /> EPA Fmm 870022A ( Rev . 12- P ) Previous editions are obsolete . DESIGNATED FACILITY TO EPA' s e - MANIFEST SYSTEM <br />
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