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COMPLIANCE INFO PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MICKE GROVE
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11401
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2200 - Hazardous Waste Program
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PR0514190
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COMPLIANCE INFO PRE 2019
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Last modified
6/17/2019 9:46:56 AM
Creation date
6/17/2019 9:31:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514190
PE
2220
FACILITY_ID
FA0010135
FACILITY_NAME
MICKE GROVE GOLF COURSE
STREET_NUMBER
11401
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240-9426
APN
05910002
CURRENT_STATUS
01
SITE_LOCATION
11401 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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` <br /> ` <br /> R.~°nos Environim. antaV Serv' ,_-s <br /> 1515South River Rd. <br /> West Sacramento, CA 95691 <br /> G\ 371'5747 11^Nvull^ ^^-' ~ # <br /> CAO044003558 <br /> ` <br /> SERVICE <br /> SERVICE ORDER ORDER NO 7(�2 4 � <br /> BILL Or LADING <br /> o*Ts JOB NUMBER <br /> Gswsq*nnn c�e �,ve Golf Cnoro= oswen^Tonepxft CAL000048536 <br /> o|u'|mG Aoonsao <br /> � AMOUNT(IF ANY) <br /> _---_�� -' <br /> GENERATOR CONTACT �����--_---__ -__'__-------__- CHECK NUMBER <br /> pnoms '09-3��-/�� P.O. NUMBER <br /> ' . <br /> �osn/rs �onnsna °"^ "`�` _-_-_------- CASH RECEIVED (amt.) <br /> ��2�O� � \ .m'o () <br /> HALIDESP.P.M. <br /> JOB DESCRIPTION ' <br /> MxrEnmus- <br /> ' -- --_--___ <br /> COMBUSTBLEuQU|o. wzlG, NA1993111. OIL) 000E# 4-�� <br /> [-lwnwnonxH*ZxnoOuavwxaTs SOLID-LIQUID COoE# START TIME <br /> u.a. DOT DESCRIPTION: END TIME <br /> �—| 4"AwTI-pnsszs NON ncm^HAZARDOUS WASTE LIQUID 000E# --- USED OIL FILTERS onVmo <br /> MANIFEST NO. NO-opax//om� <br /> nmsn'S a _ Tnucmw <br /> osoIGNArsoTSop nAwoSENVIRONMENTAL SERVICES. 1o1sSOUTH RIVER RD.WEST SACRAMENTO en*y1 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. <br /> ' - <br /> This is to oomm that the above named articles are properly ulasoifiou, d000nbod, pauxogmm, marked and are in proper condition ,o, <br /> tranoportanon, according to the applicable mgv|uUono of the Department of,Transportation. ` <br /> Generator's Certification: I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have 66termined <br /> to be economically practicable. Ramos agrees with the generator to send all their hazardous waste to an authorized hazardous waste treatment facility <br /> via Rurnbo'otonuomizou permitted storage facility. <br /> All used oil oonmuod from the generator listed above will be transported only to ufaci|dy permitted bythe State ofCalifornia m pmwuna used oil into <br /> recycled oil. ` <br /> Terms'net/sdays. ' <br /> After due date,afinance charge of1.ao%per month,1H.00mannual rate,will brcharged unthe unpaid balance.The customer agrees mpay reasonable <br /> costs and attorney fees incurred in the md|oodon of this obligation.Venue for purposes of enforcement of this obligation shall be Yolo County. <br /> |declare, under penalty u/perjury that the foregoing iutrue and correct. <br /> GENERATOR SIGNATURE <br /> 24Hour EmergeneV Response Team: 1-800-456-SPILL �� /' <br />
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