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COMPLIANCE INFO_2011
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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PR0521598
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COMPLIANCE INFO_2011
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Entry Properties
Last modified
12/5/2024 2:37:53 PM
Creation date
8/31/2020 1:59:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011
RECORD_ID
PR0521598
PE
2220
FACILITY_ID
FA0003780
FACILITY_NAME
TRACY SHELL*
STREET_NUMBER
3725
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21217030
CURRENT_STATUS
01
SITE_LOCATION
3725 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Pleaae pni:d of type,(Foo designed for use on elite(12 ){ whet) Form Approved.OMB No,2050.0039 <br /> UNIFORM HAZARDOUS WAST;MANIFEST 121MNun I r . 23.M t Tr icking N her / <br /> Continuation Sheet : `p / ( 5 � ( <br /> 24.Ganerstor's Name <br /> 25.Transporter _ Comparytdat� T f J ) <br /> U.S.EPA ID Number <br /> 26,Transporter Company Narita <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers n,Total 30,Unit <br /> 31,Waste Codes <br /> HM and Packing Group(if any)) No, Type Quantity WLIVol. <br /> a <br /> w <br /> z R <br /> LU <br /> t <br /> 32,Special Handling instructions and Additional Information <br /> 33, <br /> Tear kfOten„orR Ip�o(Mabrials <br /> Kprttt*t,_ <br /> LLJ <br /> aVF- � t ky / <br /> 34 Transporter_ Acknowledgment of Receipt of Materials <br /> Printud)Typed Name Signature Month Day Year <br /> f— <br /> 35,Discrepancy <br /> t— <br /> v <br /> a <br /> LL <br /> Q36.Hazardous Waste Report Management Method Ccdw(Le,codes for hazardous waste treatment,d ilil 1,and recycling systems) <br /> z <br /> W <br /> C] <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete, DESIGNATED FACILITY (IF”n4?CStF"tF:`u) <br />
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