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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0544639
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/9/2019 4:52:06 PM
Creation date
7/9/2019 2:56:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544639
PE
3528
FACILITY_ID
FA0005076
FACILITY_NAME
DICKS EXXON
STREET_NUMBER
2360
STREET_NAME
EAST
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23346001
CURRENT_STATUS
02
SITE_LOCATION
2360 EAST ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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J <br /> 8317V213 01 10 10:39a Lee & Pierce; Inc <br /> p•2 <br /> %;AMERICAN VALLEY 9 25.6 6 <br /> finvoice Number <br /> WASTE OIL, INC: r: <br /> R p:Box 340 • Delhi, CA 95315 <br /> PH. 1.800-732-4645 • FAX 209.888-3880 . <br /> EPA. CAI„000827878 <br /> . . - <br /> BILL.TO: JOB SITE; Invoice Date. _ <br /> LEE 8 01iCE,INC PESTANA PROPERTY <br /> 546 ABBOTT#20 2360 EAST ST: <br /> SAUNAS CA 93901 TRACY,CA <br /> les <br /> Phone Custdmet 'P.O. TermshPA# <br /> 2DO-848-8271)"N Net 3U Days <br /> PRODUCT SHIPPING DESCRIPTION00 7E -MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> .: NON-RCRA Waste Liquid Used Antiffeeze .,; 133 - -: <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> NON Haiardbus Waste Liquid / <br /> Trinity Heavy Duty premixed Recycled Antifreeis' <br />' Trinity Extended Lde prerhix6d-Recycled AnMrlae2e <br /> Tritilty:Case Goads <br /> Trucil_Wash Out _ a. <br /> Truck Time i <br /> TEAMS: Immiees over30 Days are subject to a 1.5°.6 service Charge. Customer agrees to M all-legal hm.if-court aclfort TOTAL <br /> becomes necessary to collect this.invoice: , <br /> By sky"I herigy certify that t have not mixed This write w w.any othert10 <br /> wacte,that the total he,ides are less than f0 PPM;and than she waste does not <br /> contain any P.QB's. I further agree to accept the additional charges for legal disposal it-"waste Is over iodo P.P.M,talar hand",or contains any PC.B's' i <br /> Generators Ceftitfcation_ By signing I certify that 1 have a program in Place to reduce the volume and toxicity of hazardous waste generated to the degree I <br /> have*determined to be economically practcable. <br /> By both parties ektning this invoice it frill serve as an agreement that American Valfey waste 04 wilt submit:cordirmatiori for(certain waste streams)to the i <br /> generator ftl their waste has been transported to a-licensed treatment or transfer fsoitiy. <br /> American Valley Waste Qi hereby advises the above Genemi'or the Generallors shipment of used ort may he 1,vA sported to 8 facisty ttiat is required to comply <br /> with tederal regulations appicabie to rnanagemem of used oil,out.ftf is not required to comply with the more Wingeitl requirerhants apptieahie to hazardous " <br /> waste management facilities.Calilornia farlAtles that handle'or process used of are teclu�ed to meet those rhore stritxtent requirgments,and Some 4�aaf- <br /> GIMC ttlCillties that pfoc m used oil also meet ftsearaquira vents, engineering eartificabona of cordo integrfty, and financier asavrances for"closure and- j <br /> accidental releases.Wh,laahll to send used nil to otil-of-Mato taches that comply only wrh federal u,-ed oil management standards and 00i the66 more <br /> stringent requfrtanertts_ <br /> This noliGcation is r inlormation purposes:only. <br /> RIVER fGENERATOR/AUTHORIZED <br /> IGNATURE . SIGNATURE I SIGNATURE I <br /> 1 <br /> WISP SAL/ RECYCLING FACILITY wnraE: <br /> O DK�DixON O RA I Mo! <br /> S'SVVIRONMENTAL SERVICE ADDRESS: <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD CITY/ST: ! <br /> DixoN.CA 95820 W.SACRAMENTO.CA 95691r <br /> >'tiONEi <br /> 707-693-BOOB 916-371:5747 1 <br /> EPA a CATOW012602 Epp;8 CAD0440=36 EPAO-. <br /> • - - - - - - - . .. MPC t:MG09) - <br />
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