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2900 - Site Mitigation Program
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PR0505714
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Last modified
3/4/2020 9:11:23 AM
Creation date
3/4/2020 9:03:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0505714
PE
2950
FACILITY_ID
FA0003590
FACILITY_NAME
M B P
STREET_NUMBER
501
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03731045
CURRENT_STATUS
02
SITE_LOCATION
501 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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04/86/2004 08:03 2094671118 AGE STOCKTON PAGE 06/0 , <br /> AMERICAN VALLEY 258411 <br /> ZX*Rr-CVCLL <br /> WASTE OIL, INC. Invoice Numl: <br /> P O. Box 340 * Delhi, CA 95315 <br /> PH. 1-800-732-4645 0 FAX 209-668-3880 <br /> EPA. CALOOD827878 <br /> r4 <br /> Invoice Date <br /> BILL TO: JOB SITE: <br /> Phone Customer P-0- Payment Terms EPA# <br /> Net 30 Days <br /> 209 46 7,fps?3 10 AP I I <br /> PRODUCT SHIPPING DESCRIPTION WCODEASTrz MANIFEST QUANTITY PRICE AMOUP <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUIO 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID i,221 <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME NIA <br /> GREASWEEP N/A <br /> HALOGEN TEST NIA <br /> SLUDGE, NON-RCRA HAZARDOUS <br /> WASTE LIQUID N/A <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 15%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 SIGNATURE <br /> 7 <br /> By signing the Invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br /> and toxicity of the hazardous waste to tRe degree,as determined by the generator,to be economically practicable. <br /> By both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for(certain <br /> waste streams)W the generator that their waste has been transported to a license treatment or transfer facility. <br /> D <br /> . JSPOSAL/ RECY—CLING EA-CJL17Y <br /> 0 nivEABANKOILTRANSFER 0 RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD 1515 SOUTH RIVER ROAD <br /> RIVERBANK,CA 95367 W.SACRAMENTO,CA 95691 <br /> CALOOD190816 910-371-5747 <br /> CAD0440D3556 <br /> (IM2 <br />
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