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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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WATERLOO
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2200 - Hazardous Waste Program
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PR0537154
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
7/15/2020 10:51:50 PM
Creation date
7/15/2020 4:23:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0537154
PE
2220
FACILITY_ID
FA0002093
FACILITY_NAME
DOLLAR GENERAL #13632
STREET_NUMBER
2907
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
11928001
CURRENT_STATUS
01
SITE_LOCATION
2907 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Plea- pr^ni or type. ,Form dtniara for use on eite (12•oitch) NoereiGer ) <br />EPA Fpm 8700-22 {Rev. 3-05} PM"DUs SMOM are 046010 <br />DESICNATM FACILITY TO DESTINATION STATL` OF RFQ1!W-D) <br />8700t2i? iPu3 CAL2087?03--c� 541053276 041072715 M P0038818 GD032818 <br />For <br />lA'iFQRM HAZARDOUS 1 GWWW D trvmoor <br />2 Page 1 of <br />3 Em F9ancy Resprati9enlre Pt <br />4. Tew" %mw Y __ <br />WAM MUM 1 GAL60037U74 <br />1 <br />8775772569 <br />010868381 F L E <br />s GlnerMi*s Nana aid Mailing Address "Atufs Sita Address {if differed than make address„) <br />Dollar General #13632 Dollar General#13630 <br />2 098008944 2907 E. WATERLOO ROAD M7 E. WATERLOO ROAD <br />6ac>lrimr's Ptwe. STOCKTON, CA 95205-2925 STOCKTON, CA 95208--2926 <br />5 :asspormr 1 Nemo us EPA IG Nunher <br />Stericycle Soecialty Waste Solutions Inc MNS@00110924 <br />US EPA 10MO&F <br />Worldwide Recovery Systems CAROM17540-, <br />aced Rt,r AimeaM5ftAMnM Yuma Yes, LLC US EPA0humber <br />2730 E. 13th Street <br />Yuma, AZ 85,365 <br />FwM s; Mme 9'21864.28938 I 97RM1515-9-14 <br />ga <br />9b U.S DOT D-O*m (esti Uft PmMSNppins Nana, Hazard Class. 10 Number, <br />t6 Cortlainers <br />11 TOW <br />1% Ung <br />HN <br />and PaddrQ G-JP(dar9+)) <br />ajwa ty <br />`rVt ftm <br />13 tb'asts Cadm <br />NO <br />Type <br />CK <br />'Non RCRA hazardous haste, solid (Consumer <br />f <br />DF <br />ON46 <br />P <br />331; <br />Products),-, <br />LU <br />MJ <br />2i�lon RCRA hazardous waste, liquid (Consumer <br />f <br />OF <br />80100 <br />P <br />3311 <br />Products), <br />i <br />Y <br />J <br />3, <br />4 <br />14 Spet-Al Handrig r,s» ardAm #fwaamm,x, I.118Sc'9(Non-RCRA Solid Waste (CA Only) - Loosepack) 2- <br />118524(Non-RCRA L%q{ Waste (CA Only) - Loosepack} <br />2-V 9k, <br />15 C�RAiT - - - cetnr'1cAlton: f hixxebr dr!<Jare rat h converts dtf>;s � are �i and arc�ratgyr dearxibed above by era proper shipping name, aro are <br />c�saitied, pecJaged. <br />mwkod and 66do ftlaraidad, and ane at 04 r WWW in proper catitim far trampvtomaft W apokgle infemabxd and nabona(,9werntneri4at reg M3m Ir expo, ahicrttont arxt 1 am ire Pritnery <br />Exporbx, I carfify iratttr mr�rtl^ of /us corga<psrwtt cordorm b @ta farms of Cre atmofiert EFA Ax1+TirrrAodgrtpn{ d Consent. <br />flat ala wasta mWMk;don Oftrwrn ideW*d in 40 CTR 26227(a) (d I m it haute WSr* g 1 a (b) R I m a SMI 94ty gixaxtl[x) is true <br />Sr ypw mum more Dvv Yaw <br />a <br />c rt inx 031 281201 <br />'- <br />._ (< vc t tO U S L.....J. Expert from U SPOR of eyft <br />TratsaaAer siar>snine thr esports arm): <br />W <br />17 Transpo+lefArlinaaledpnurntofRex4tdAfggfel� <br />Ira mporw t PmfadTyped Name ca <br />d <br />� <br />_ <br />Jcrhsiau Wareor <br />__�"V <br />7V --V , <br />16 <br />,Era 0` vacaim SPIM <br />LI o,.* LI iype .__ 1( -. i. _j Partial Re)etbeo y t 1 F.9 R*c9w <br />hlvii(r3r RMnrerac ,!,mbar. <br />_ <br />18b Agnate Fac ity (or Gataatr) U!3 EPA D Numtw <br />:3 <br />V <br />FaciWs Phom <br />1$c SiigralumofAftnseFwfly(or GawabXj Month Lay Year <br />I 1 1 <br />19He¢ffidous Wage Rtport Mwagwwd Mediod Codes li e , codes br hanfdws waste treatment die c%k and re�j*g SystGr $ <br />lu <br />1 <br />AA kLA <br />20 Desquled FaMy Oww or OMM v Ce MMMO d Mt*pt Of haadars matna is Ooveft by Rte inar*d=1* as rn" gem 18a .n <br />�rn+ i pq <br />�Q -� foq 11 <br />EPA Fpm 8700-22 {Rev. 3-05} PM"DUs SMOM are 046010 <br />DESICNATM FACILITY TO DESTINATION STATL` OF RFQ1!W-D) <br />8700t2i? iPu3 CAL2087?03--c� 541053276 041072715 M P0038818 GD032818 <br />For <br />
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