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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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2800 - Aboveground Petroleum Storage Program
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PR0514480
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COMPLIANCE INFO_PRE 2019
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Last modified
4/14/2020 1:28:18 PM
Creation date
4/14/2020 11:42:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514480
PE
2221
FACILITY_ID
FA0010980
FACILITY_NAME
G&L BROCK CONSTRUCTION CO INC
STREET_NUMBER
4145
STREET_NAME
CALLOWAY
STREET_TYPE
CIR
City
STOCKTON
Zip
95215-2420
APN
08722004
CURRENT_STATUS
01
SITE_LOCATION
4145 CALLOWAY CIR
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Ra )s Environmental Service <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 153997 <br /> BILL OF LADING <br /> DATE 3— r / ✓ J t^ JOB NUMBER <br /> GENERATOR S Ly'o f, tom" `t. C- C;h GENERATOR EPA# <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT LI•dG^92�,_ CHECK NUMBER _ <br /> PHONE P.O. NUMBER <br /> JOB SITE ADDRESS - I I i l L rt t .> c Z +. CASH RECEIVED (amt.) <br /> J i i. : 1 • _l i, ... '� z-� '� _, , ti" HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> ❑ NON RCRA HAZARDOUS WASTE LIQUID,(USED OIL) CODE# START TIME � <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# ARRIVE TIME 0 <br /> LEAVE JOB _ <br /> U.S. DOT DESCRIPTION: <br /> STOP TIME +��� <br /> (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS _ DRUMS <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO 95691 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND THE TOTAL HALIDES ARE LESS THAN 1000 PPM. <br /> This is to certify that the above named articles are properly classified, described, packaged, marked and are in proper condition for <br /> transportation,according to the applicable regulations of the Department of Transportation. <br /> Generator's Certification:I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br /> to be economically practicable.Ramos agrees with the generator to send all their hazardous waste to an authorized hazardous waste treatment facility <br /> via Ramos'standardized permitted storage facility. <br /> All used oil collected from the generator listed above will be transported only to a facility permitted by the State of California to accept used oil. <br /> Terms-net 15 days. <br /> After due date,a finance charge of 1.50%per month, 18.00%annual rate,will be charged on the unpaid balance.The customer agrees to pay reasonable <br /> costs and attorney fees incurred in the collection of this obligation.Venue for purposes of enforcement of this obligation shall be Yolo County. <br /> I declare,under penalty of perjury that the foregoing is true and correct. <br /> X <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745 <br />
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