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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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1900 - Hazardous Materials Program
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PR0528729
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BILLING
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Entry Properties
Last modified
10/29/2020 11:24:23 PM
Creation date
6/9/2018 12:51:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
RECORD_ID
PR0528729
PE
1921
FACILITY_ID
FA0019292
FACILITY_NAME
FERMIN ALUSTIZA
STREET_NUMBER
820
Direction
(none)
STREET_NAME
CHANNEL
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13928013
CURRENT_STATUS
Inactive, non-billable
SITE_LOCATION
820 CHANNEL ST
P_LOCATION
(none)
P_DISTRICT
001
Supplemental fields
FilePath
\MIGRATIONS\C\CHANNEL\820\PR0528729\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
8/20/2015 5:00:34 PM
QuestysRecordID
2836676
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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HO <br /> TSUPPL-YCao : . EIuo _.INVOICEUATE <br /> T 30..2013: INVOICE NUMBER t 4r 0-F ' <br /> #1 IN AOUEOUS CLEANERS � � ' � ' ' " CUSTOMER NUMBER <br /> 10328 EAST SIERRA AVENUE :ENVIkONMENTAL ' <br /> CLOVIS,CALIFORNIA 93619.9311 HEALTH DEPARTMENT <br /> (559)297-0102 or(559)292-4965 <br /> EPA#CAD961690126•STATE tD#1849 <br /> . T!@a±inaarl�Fac7lrtV: <br /> SOLD TO: SHIPTO: ' f3t�at-,ieai p11w842 r lsp.agin'r' t' <br /> Dth! �4re �C ET Y CAT00c,F562Y7 <br /> 35:53 ad 5kylire Rd.;• . <br /> �:C'c%r ic,� (~/1.' �3:+ G:• ,�.2i"tlemall C€tY, �:r.a3;c:3 ' <br /> y ?�+„. ;.7SALESM <br /> PLEASE PAY BY INVOICE Not 30 Days _T� „crej <br /> -Itr :� , ""dal rac N'' tt&T n •A i S n' A!a <br /> S, it ) k• . .y <br /> •;f•... Y. R' <br /> WASTE REMOVAL: y <br /> Xi sr^ �� <br /> ' MANIFPST# WA51P# QTy^' �.. ••� I <br /> MANIFEST A44>,f J-.�uF`• I WAS'T&d / ( r� 1 �3, •.-" -/' /y <br /> MANIFPS'P# WASTBN .QTY. <br /> L RQ,Waste Corrosive Liquid,N�O.S.,8,UNI 760,Pg III <br /> 2. UN3082.Fmironraomta y Hazardous Satisrartce,Liquid,N.O.S. . <br /> (Metal contarainamd Slutip),.9,Pg lII <br /> I Aqueous Solvent Waste-Gass 11 Liquid Non-Hazardous <br /> 4. . RQ,Hazardous Waste.Sold:N.O.S.,'Oila 9 NA3077,Pg III <br /> A OiVWercr Studgt•Class I(Hai.Wade N.O:S.9;Na3077,Pg 111 <br /> 6. Hazardp-Waste,NO.S:,Waste Paint Rclatod Material.L1N1263,3,Pg►I ' <br /> 7. uNa26d,CorroaiveZ,iquia,Sas;c.dnerganlcN.O.S.(chNmitvn,ked),B,Pg1ll' ' . <br /> 8. Non RCRA Hazardous Waste Solid(Oily SpUds) . <br /> Celftate of Compliance'No. 1849 . <br /> ❑CESOG <br /> I comity that the amour(Shawn above to ha correct,HTS Co.Carafies that the-aboye waste will.he <br /> transported to an eumorized w to tree ent fealtyin Laoordanoe with applicable laws. <br /> Drivers Cigna�ure -^y~ <br /> The genembOC hea e"blished a progrem to reduce lhdvolume, <br /> .. srae:ta be econom gberdypnd tonicity oivns[a to '.. <br /> �9 beDy prectica6le'•:..... . <br /> .. 'CustomerParintedNathis <br /> eat., X fLP� <br /> .. `t'gidrnature of Customer <br /> ti 'd S6bE '°N H01VdS[0 Wd40: 1 SIOZ 'OS 110 <br />
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