My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO PRE 2019
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
E
>
EL DORADO
>
3105
>
2200 - Hazardous Waste Program
>
PR0505946
>
COMPLIANCE INFO PRE 2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/19/2019 7:55:32 PM
Creation date
9/19/2019 8:51:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0505946
PE
2227
FACILITY_ID
FA0003680
FACILITY_NAME
CALIFORNIA TANK LINES INC
STREET_NUMBER
3105
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17512028
CURRENT_STATUS
01
SITE_LOCATION
3105 S EL DORADO ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
600
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
1 <br />4 <br />w <br />I <br />La <br />C <br />1 • APPAGPfi�A F `� PDOA DECALS N PUCE lJ a MMNW PAOPE•tY GRfAWM F. <br />TOTAL-SERVICE/PRODUCTS %WHWCOtD-104 ❑ A40Lfmf lJ1:1 El <br />BOYES SCLEA.&WSS tom .40w ND Srem Z <br />USEPA TRANSPORTER 1 ID N0. <br />,4W Legacy UTNe, C kWeT II, B3 <br />900-669-5740 <br />„�` <br />DUNS NO. <br />W397 _6551 FED. t0 NO. 39RDRDO19 <br />CUSTOMER <br />AINERS <br />TYPE <br />Plano, Texas 75024 <br />www Be}Rty-kleen oom <br />Rs <br />FOR SERVICE CALL <br />BRANCH MANAGER DOC. EXP <br />sc,�EOLUDtD- <br />u <br />I MY AL <br />WASTE STREAMS ARE WITHIN <br />ONE OF THE MUC W W, <br />CUSTOMER NO. <br />•4 . • ; I <br />2►9-545--1 01 1 <br />�� <br />1 A. <br />C <br />•l <br />.7 <br />1 <br />i <br />0 TO 7?0 LRS tAAONTH <br />Nrrws <br />1 <br />c7 <br />O <br />Z <br />CM PREVIOUS BALANCE <br />U C; <br />_ <br />.. <br />_. <br />:37��112ri,r� <br />- <br />Tr <br />770 LDS T 2.200 LRS MC" -M <br />T1 <br />IrH�_ I Y' <br />T E �1 <br />•1 014K t. 1 NF_S T i VC.UStOME <br />CRAM O"T"SVG <br />PSC mot) PX <br />O Pn <br />Sn w E 4 1 <br />Pn Pox E245 <br />sc ENT <br />M <br />I. <br />• <br />LOCATION TAX EXEMPTION NO. <br />R St <br />#304 I.p i':ii}QIF.�—C�i'�t$ 1j <br />�i1 o^4ttOn I;fi <br />Li�� 9�r'171f_-,--QJ?4 <br />+r <br />SERVI <br />ATE S $REQ N0. <br />CUSTO P.O. NUMBER <br />CUSTOMER PHONE • <br />TAX CODE DATE EOPT/PROD ORDERED <br />SERVICE TAX C.O.M S TAX PRODUCT TAX <br />1 <br />4 <br />w <br />I <br />La <br />C <br />1 • APPAGPfi�A F `� PDOA DECALS N PUCE lJ a MMNW PAOPE•tY GRfAWM F. <br />TOTAL-SERVICE/PRODUCTS %WHWCOtD-104 ❑ A40Lfmf lJ1:1 El <br />BOYES SCLEA.&WSS tom .40w ND Srem Z <br />USEPA TRANSPORTER 1 ID N0. <br />USEPA TRANSPORTER 21D NO. GENERATOR USEPA ID NO. GENERATOR STATE ID NO. <br />_ <br />PuTmt 7 , -, <br />11. US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID.) <br />3 Mlg.q ^I: Lzl (D001) <br />12 CON <br />No. <br />AINERS <br />TYPE <br />13 TOTAL <br />OUANTITY <br />DESIGNATED FACILITY NAME AND ADDRESS <br />12, <br />CASH U TOTAL RECEIVED I APPLY PAYMENT TO: <br />HECK NUMBER ❑ TOtAAY'S SERVICEMALE <br />❑ •RENOIR BALANCE AS IDLIOM'S <br />NVOICE I AMOUNT S INVOICE A AMOUNTS <br />FtMf INK <br />PGTALLED ElAERI00 TD MAE]•4F <br />❑ ❑ <br />W <br />LAMP EE���T <br />w)," v W ❑ EMIAGE CI•CLum ❑ �AN� � ITT ❑ ❑ <br />- r" !.. <br />n Lo Art PST411CTED <br />(7 <br />12 CON <br />No. <br />AINERS <br />TYPE <br />13 TOTAL <br />OUANTITY <br />14. UNIT <br />WTNQL <br />SK DOT NUM6ER <br />TOTAL DUE / <br />DO NOT WRITE IN 'ME An- A <br />LAME <br />I MY AL <br />WASTE STREAMS ARE WITHIN <br />ONE OF THE MUC W W, <br />C) <br />J <br />3 <br />•4 . • ; I <br />�� <br />1 A. <br />0 TO 7?0 LRS tAAONTH <br />Nrrws <br />c7 <br />O <br />Z <br />• Tz . <br />rY` <br />U <br />770 LDS T 2.200 LRS MC" -M <br />•NTIALS <br />W <br />GREATER THAN 2.7M L RS VON') <br />I CERTIFY THAT NO MATERIAL CHANGE HAS OCCURRED <br />USA EPA ID NO: <br />EITHER IN THE CHARACTFRSTICS C1F THE WASTE <br />Q <br />ISTATE ID NO. <br />MATERIALS OR N THE PROCESS GENERATNO THE <br />WASTE MATERIALS. <br />Ill <br />I AOREE TO PAY THE ABOVE CHARGES AND TO BE SOUND BY THE TERMS AND <br />CONOMO" SET FORTH ABOVE AND ON THE REVERSE SIDE OF THIS DOCUWNT <br />PLEASECHARGE MV ACCOUNT FOR THIS TRANSACTION UNLESS OINFFRYISE <br />NDICATED N THE PAYMENT RECEIVED SECTION THE INDIVIDUAL SIO04M TMS <br />DOCUMENT IS DULY AUT14ORZED TO SIGN AND SND CUSTOMER TO RS TERMS <br />1h Y M s•Y M M ,tnr.•+�1 mM•W w Vx.w/ crlbe. ptlq.• .nrYE M •E�Yd ..D w n <br />✓ 1 <br />Ptint Ctwolhx Name <br />TOTAL CHARGE <br />(FROM ABOVE) <br />- r" !.. <br />V <br />I <br />✓ <br />S i <br />WASTE MIN. <br />(FROM ABOVE) <br />W <br />in <br />LDR MESSAGE <br />TOTAL DUE / <br />DO NOT WRITE IN 'ME An- A <br />LAME <br />
The URL can be used to link to this page
Your browser does not support the video tag.