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ARCHIVED REPORTS XR0011193
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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701
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3500 - Local Oversight Program
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PR0544217
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ARCHIVED REPORTS XR0011193
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Entry Properties
Last modified
3/5/2019 12:19:04 AM
Creation date
3/4/2019 4:40:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011193
RECORD_ID
PR0544217
PE
3526
FACILITY_ID
FA0002512
FACILITY_NAME
GSG GAS & MART
STREET_NUMBER
701
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734311
CURRENT_STATUS
02
SITE_LOCATION
701 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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Tags
EHD - Public
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AMERICAN VALLEY <br /> a WASTE OIL, INC. InvoiceNumber <br /> P O Box 340 - D, m, CA 95315 <br /> PH 1-800-732-4645 • FAX 209-668-3880 <br /> EPA CAL000827878 <br /> Invoice 17«ic <br /> IBILI.TO: j 0 B t, <br /> - <br /> Phone Customer P O Payment Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE CODE MANIFEST QUANTITY PRICE AMOUNT <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 />' NITY HEAVY DUTY 50/50 <br /> YCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br />' TRUCK TIME NIA <br /> GREASWEEP NIA <br /> 1 <br /> T-- <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5% SERVICE CHARGE CUSTOMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE TOTAL <br />' DRIVER GENERATOR <br /> SIGNATURE `r SIGNATURE <br />' American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to a facility that is required to comply <br /> with federal regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous <br /> waste management facilities California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of- <br /> state facilities that process used oil also meet those requirements engineering certifications of tank integrity, and financial assurances for closure and acci- <br /> dental releases It is lawful to send used oil to out-of-state facil,ties that comply only with federal used oil management standards and not these more <br /> strin-gent requirements w <br /> This notification is for informatlbn purposes only <br /> Driver signed I S, <br /> __ Date _ Generator signed _ ` _' i [date <br /> By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br /> waste to the degree, as determined by the generator to be economically practicable <br /> B both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for(certain waste streams)to the generator <br /> eor waste has been transported to a license treatment or transfer facility <br /> DISPOSAL / RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD • RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W SACRAMENTO, CA 95691 <br /> 209-863-8181 • EPA#CAL000190816 916-371-5747• EPA#CAD044003556 <br /> MPC(412003) <br />
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