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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0526772
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COMPLIANCE INFO
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Entry Properties
Last modified
11/29/2018 4:59:42 PM
Creation date
10/31/2018 12:11:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526772
PE
2220
FACILITY_ID
FA0018129
FACILITY_NAME
CHARTER WAY APPLIANCE
STREET_NUMBER
920
Direction
E
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16718302
CURRENT_STATUS
02
SITE_LOCATION
920 E CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\C\CHARTER\920\COMPLIANCE INFO\COMPLIANCE INFO.PDF
Tags
EHD - Public
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ElltltlMENTAL I IRMCM <br /> San Joaquin County Permanent HHW Collection Facility <br /> 7850 South RA Bridgeford Street <br /> Stockton,Ca 95206 <br /> Direct:209.468.5670 <br /> Fax:209.468.5672 CESQG DATA SKEET & WATVER <br /> Btaalnesa Information <br /> ConMsny Name(pleaso print) ComCosog Representative forint your name) <br /> streetAddres l/ — <br /> Lity/Soarmp godo Telephone Number <br /> z � ? ( ) (6 <br /> business;waiver <br /> Sutc and federal hazardous wast6 laws limit the use of this type of waste collection programs to those businesses that <br /> generate lea than 100 kilograms (27 gallons or 120 pounds) of hazsrdous waste per month. Businesses that generate <br /> more than this amount aro required by taw to use a licensed bazardous waste hauler to manifest and trattsport their <br /> route.Themtom in order to participate in this program,you must sign the following waiver of liability. We reserve the <br /> rlaht to review your annual manifests or consult with the County Environmental Health Department to determine your <br /> eligibility for use of this program.Thank you. <br /> I certify the business that 1 am representing is a Conditionally BxmVt Small Quantity Generator (CE.'iQG) who <br /> Stm—tsa no more than 100 kilograms (27 gallons or 210 pounds)of hazardous waste per month based on an annual <br /> average and 1, the representative of the CESQG, understand the maximum quantity of waste accepted at the time of <br /> disposal is 27 gallons or 220 pounds and any disposal costs incurred shall be the responsibility of the CESQG to pay at <br /> �.: -.o'er✓a:e!. <br /> Date r 7lmo / Si <br /> 1>0 NOT WRITE BELOW THIS LINE <br /> INVENTORY <br /> (To be completed by collection personnel) <br /> Itt rn Gallons Pounds 0 of Cont. Price Total <br /> ,q7 .Q/�✓ <br /> Total <br /> Comments: <br />
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