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ARCHIVED REPORTS XR0000752
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BEVERLY
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2900 - Site Mitigation Program
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PR0540667
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ARCHIVED REPORTS XR0000752
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Entry Properties
Last modified
2/8/2019 10:10:14 AM
Creation date
2/8/2019 9:02:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000752
RECORD_ID
PR0540667
PE
2960
FACILITY_ID
FA0023252
FACILITY_NAME
WELDON CHURCH PROPERTY
STREET_NUMBER
104
Direction
W
STREET_NAME
BEVERLY
STREET_TYPE
PL
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
104 W BEVERLY PL
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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' 41=8r: AMERICAN VALLEY . <br /> Ig WASTE OIL, INC. Invoice Number: <br /> IP. O. Box 340 • Delhi, CA 95315 <br /> . PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 - <br /> Invoice Date: <br />' BILL TO: JOB SITE: <br /> Phone Customer P.O. Payment Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br />' USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> N HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> HALOGEN TEST N/A <br /> SLUDGE, NON-RCRA HAZARDOUS <br /> WASTE LIQUID N/A <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUS'�OMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. s TDTAL F , <br /> DRIVER GENERATOR f <br /> SIGNATURE SIGNATURE <br /> _ . _.• <br /> By signing the invoice the gene rator`certifies that the generator has established a program to reduce the volume or quantity <br /> and toxicity of the hazardous waste to the degree, as determined by the generator, to be economically practicable. <br />' By both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for(certain <br /> waste streams)to the generator that their waste has been transported to a license treatment or transfer facility. <br /> DISPOSAL/ RECYCLING FACILITY <br /> O R"IVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL,SERVICES <br /> 5300 CLAUS ROAD 1515 SOUTH RIVER ROAD <br /> I RIVERBANK, CA 95367 W. SACRAMENTO, CA 95691 <br /> CAL000190816 916-371-5747 <br /> CAD044003656 <br /> I <br /> MPC(1ro2) <br />
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