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ARCHIVED REPORTS_XR0005000
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MONTE DIABLO
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2650
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3500 - Local Oversight Program
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PR0545577
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ARCHIVED REPORTS_XR0005000
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Entry Properties
Last modified
9/16/2020 12:39:09 AM
Creation date
3/19/2020 1:54:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005000
RECORD_ID
PR0545577
PE
3528
FACILITY_ID
FA0003836
FACILITY_NAME
LOCAL FOOD MARKET
STREET_NUMBER
2650
STREET_NAME
MONTE DIABLO
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
13311131
CURRENT_STATUS
02
SITE_LOCATION
2650 MONTE DIABLO AVE
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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4031 <br /> ANERICAN VALLEY - <br /> ARERYCLE&, Wj�STE OIL, INC. <br /> in <br /> Number <br /> ' P O Box 340 • Delhi, CA 95315 <br /> PH 1-800-732-4645 • FAX 209-668-3880 <br /> EPA CAL000827878- <br /> Invoice Date <br /> ' BILI.TO: JOB ,SITE. <br /> „14V <br /> tf i"r SHAW iJ sJOC�L CDUD :TE:'�'Z <br /> ' <br /> _1650 MQNTE O1ABL(, <br /> 95201 <br /> t ( — (] i t <br /> Phone Customer P O Payment Terms EPA# <br /> Net 30 Uayf CAL0014616832 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> F CODE <br /> USED OIL NON RCRA HAZARDOUSr'� <br /> WASTE LIQUID 4 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> ' RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> J <br /> I <br /> N HAZARDOUS WASTE LIQUIDUCK TIME �. N/A <br /> GREASWEEP N/A <br /> HALOGEN TEST N/A <br /> SLUDGE, NON-RCRA H9Z*i9QL,6* <br /> WASTE LIQUID N/A • <br /> 1 <br /> VICE CHARGE CUSTOMER AGREES <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TOA 1 5%SER <br /> TO PAY ALL LEGAL FEES IF COU ACTION BECOMES NECESSARY TO COLLECT THIS INV#CE..� TOTAL <br /> DRIVER A GENERATOR <br /> SIGNATURE �' f <br /> SIGNATURE S� <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 hazard8'Ui waste to the degree, as determined by the generator, to be economically practicable <br /> By both parties signing this invoke 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 ! REeYCLING FACILITY <br /> ' 0 RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 530o CLAUS ROAD 1515 SOUTH RIVER ROAD <br /> RIVERBANK, CA 95367 W SACRAMENTO, CA 95691 <br /> CAL000190816 916-371-5747 <br /> CAD044003556 <br /> I' MPC{1102} <br />
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