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COR0PPNGK
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOOMIS
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3018ST
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2500 – Emergency Response Program
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Last modified
3/4/2021 1:07:13 PM
Creation date
3/4/2021 12:49:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COR0PPNGK
PE
2546
FACILITY_NAME
OAK HARBOR FREIGHT LINES
STREET_NUMBER
3018ST
Direction
E
STREET_NAME
LOOMIS
STREET_TYPE
RD
City
STOCKON
Zip
95205
APN
17910007
ENTERED_DATE
4/1/2020 12:00:00 AM
SITE_LOCATION
3018 E. Loomis Rd.
RECEIVED_DATE
4/1/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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Land Disposal Restriction Page : 1 of 1 <br /> CleanHargri <br /> Notification Form <br /> ' Printed Date :Jun 19, 2020 <br /> EMVIROMMENTAL SERVICES <br /> MANIFEST INFORMATION <br /> Generator: Oak Harbor Freight Lines, Inc i Manifest Tracking Info. <br /> Address: 3018 Loomis Rd 014552658FLE <br /> Stockton,CA 95205 <br /> EPA ID#: CAL 0 0 0 4 1 0 6 82 Sales Order No: 2003202137-001 <br /> ---- -- -- - -- - - - -----------------------------------------------------'------------------------------------------------------------- <br /> LINE ITEM INFORMATION <br /> -----------------r-"--'----"-----'-r-------------------r-----------------------------"�---------------'---"---'------- <br /> Line Item: ;Page No: ;Profile No: ;Treatability Group: ; LDR Disposal Category <br /> r-- r - - r------------------------ ------ -- ------------- - - ----------------- <br /> 1. ;1 ;CH2O24497 ;NON-WASTEWATER ;2 This is subject to LDR. <br /> ------------� -------- --- I <br /> EPA Waste Code I EPA Waste SubCateaory <br /> -------------------------------------------------------------------------------'------------------------ -- ------------------------------- <br /> D001 High TOC Ignitable Liquids <br /> L___________________________________________________________ <br /> LINE ITEM INFORMATION <br /> -----------------r-------------------i--------------------r-----------'------------------' ------------------------------------------------ <br /> Line Item: ;Page No: ;Profile No: ;Treatability Group: ; LDR Disposal Category <br /> 2. ----------------- _rCH2O18657 -rNON-WASTEWATER 2 (This is subject to LDR.) <br /> 1-------------------L-------------------L--_-___----____________---_____J____-_-_--______-_____-------___--_-_______-__--. <br /> EPA Waste Code I EPA Waste SubCate o <br /> --------------------------- ----------------------------------------------------------- <br /> ---------------------------------------------------- ' <br /> D001 Ignitables,except High TOC Liquids <br /> D002 Corrosive Characteristic <br /> --------------------------------------------------------------------------------L------------------------------------- -• <br /> Certification 1 Applies to <br /> Manifest Line <br /> Items <br /> ------------------------------------------------------------------------------------------------------------------------------------------ <br /> Pursuant to 40 CFR 268.7(a), I hereby notify that this shipment contains waste restricted under 40 CFR 11. 2. <br /> Part 268. <br /> ------------------------------------------------------------------------------------------------------------------------'------------------ <br /> Waste analysis data, where available, • att c , <br /> Signature Print Name <br /> Title : `�� �1_ Date <br /> --------------------------------------------------------------------------------------------------------------------------------------------• <br />
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