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COMPLIANCE INFO_PRE 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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PR0538499
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COMPLIANCE INFO_PRE 2019
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Last modified
12/17/2024 2:45:53 PM
Creation date
9/29/2020 5:04:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0538499
PE
2221
FACILITY_ID
FA0016020
FACILITY_NAME
GARY IMHOFF TRUCKING
STREET_NUMBER
5695
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21317041
CURRENT_STATUS
02
SITE_LOCATION
5695 W GRANT LINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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ALTERNATE STRAIGHT BILL OF LADING - SHORT FORM <br />Shipper # 5265H <br />Carrier # �. <br />Date: 9/23/2014 <br />1—/ <br />(Name of Carrier) <br />TO <br />Consignee ausmetco west <br />Quemetoo, Inc <br />720 South 7th Avenue <br />CITY OF INDUSTRY CA 9174e <br />USA <br />Truck #_ <br />Trailer #� <br />FROM <br />Shipper C&S Grocers <br />cJo Reynolds Battery Service, Inc <br />715 Southpoint Blvd, Suite P <br />Petaluma, CA 94954 <br />Packaging, Articles, Special Marks, and <br />Skids <br />Product <br />Weight <br />N2794, batteries, wet, filled with acid, 8, PGIII <br />Auto Type <br />Loaded Per 49 CFR 173.159(E) <br />Ind Ban Cells <br />industrial <br />RSR Contract # 4500253304 <br />10 <br />steel Case <br />44,000 Abs <br />Seal # <br />Scrap Lead <br />This Is to certify that the above named materials are property <br />Other (description) <br />described, classified, packaged, marked and labeled and are In <br />proper condition for transportation according to the applicable <br />regulations of the Department of Transportation. <br />GROSS WT <br />TARE WT <br />24 Hour Emergency Response # 1-800-424-9300 <br />NET WT <br />REMIT C.O.D. <br />C.O.D. AMOUNT: $ <br />C.O.D. FEE <br />Address <br />PREPAID ( ] <br />COLLECT J] <br />TO: <br />If this shipment is to be delivered to the <br />TOTAL <br />consignee without recourse on the <br />CHARGES $ <br />ADDRESS: <br />consignor, the consignor shall sign the <br />fdlowing statement: The carrier shall <br />Freight charges are collect unless <br />not make delivery of this shipment <br />market prepaid. <br />without payment of freight and all other <br />lawful charges. <br />CHECK BOX IF PREPAID ( ] <br />Signature of Consignor <br />NOTE: Where the rate Is dependent on value, shippers are required to elate specifically in writing the agreed or declared value of the property. <br />The sgMW r declared value of the i <br />RECEIVED subject to the classifications and tariffs In effect on the date of the issue of this Bill of lading, the property described above in apparent <br />good order, except as noted (contents and condition of packages unknown), marked consigned and destined as Indicated above which said carrier <br />word carrier being understood through this contract as meaning any person or corporation in possession of the property under the conked) <br />agrees to carry to its usual place of delivery as said destination. If on its route, otherwise to deliver to another carrier on the route to said <br />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 destnation and as to each <br />party at any time interested in all or any said property, that every service to be perfomted hereunder shall be sAact to at the BIII of Lading terms <br />and conditions In the governing classification on the date of shiprnarht. Shipper hereby certlles that the Is familiar with all the Bill of Lading terms <br />and conditions in the g e classification and the said tan, and conditions. <br />A10 <br />Shipper 0 "Carrier <br />r.HVEF) <br />SEP 08 2015 <br />ENVIRONMENTAL <br />'Jr-bl-U ^i=0nOT'kAr_?IT <br />
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