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COMPLIANCE INFO PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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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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AMER� 1� VALLEY <br />,RECYCLE <br />INC. Invoice Number: <br />P. O. Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />EPA. CAL000827878 <br />f <br />Invoice Date: <br />BILI, TO: JOB SITE: <br />Phone <br />Customer P.O. <br />Payment Terms <br />EPA# <br />L } ('tel . �(r S . <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />—C'C_. <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />1-i„. —�. <br />WASTE LIQUID <br />221 <br />.14 - <br />USED AUTOMOTIVE ANTIFREEZE, NON�?�x�`; <br />RCRA HAZARDOUS WASTE LIQUID <br />343 <br />- <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />HALOGEN TEST <br />N/A <br />SLUDGE, NON-RCRA HAZARDOUS <br />WASTE LIQUID <br />N/A <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A1.5% SERVICE CHARGE. CUSTOMER AGREES <br />TO PAY ALL LEGAL,FEES TOTAO <br />`,_``��_..__. <br />IF COURT CTION BECOMES NECESSARY TO COLLECT TNIs yVOiCE. <br />DRIVER ..yy .-- GENERATOR <br />"' <br />SIGNATUREd `z - SIGNATURE"�"""" -..e <br />By signing the invoice the generator certifies that the generator has estabIished`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 boll) 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 />0`1RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br />5300 CLAUS ROAD 1515 SOUTH RIVER ROAD <br />RIVERBANK, CA 95367 W. SACRAMENTO, CA 95691 <br />CAL000190816 916-371-5747 <br />CAD044003556 <br />MPC (1102 <br />
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