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COMPLIANCE INFO_2020
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0521451
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
9/14/2021 4:41:45 PM
Creation date
5/21/2020 11:55:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0521451
PE
2226
FACILITY_ID
FA0011200
FACILITY_NAME
UNIVERSAL SERVICE RECYCLING LLC
STREET_NUMBER
3200
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17702028
CURRENT_STATUS
01
SITE_LOCATION
3200 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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UNIVERSAL SERVICE RECYCLING INC . <br /> 3200 SOUTH EI DORADO SREET <br /> S,TOCKTON, CA 95206 <br /> 209 944-t)555 Page 1 of 1 <br /> Date: 1 /2/2020 Straight BOB ®t Lading BIL NO. 68617 <br /> SHIPPER • - • • <br /> Shipper No . 00001 Name: Univeral Service Recycling Nevada <br /> Trailer No. Address: 5855 Sheep Drive <br /> Seal No. Carson City, NV 89701 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 P,O. NO. DAVID <br /> • • SPECIAL INSTRUCTIONS : ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling Hu Typo Hat Description oes, <br /> f Articles, Special Marks and Exceptions NMFC# Class Weight Sub) Rate Charge <br /> UnitsIto Correction <br /> 1 TIL j . SHRED AG , . - - - . : ..... - 41580 lbs - j <br /> I GROSS: 79240 i — -- - -- -- - - <br /> - - - - — <br /> �TARE:37660 <br /> - -- � NET.41580 <br /> — -- --- i 20. 79 <br /> 1 Total for All Pages eight In Ibs 41580 lbs 0. 00 <br /> Hazardous Material Emergency Contact: Freight Terms : C .O . D. Amount ❑ Prepaid <br /> Q Prepaid ❑ Collect <br /> HCollect ❑ Customer Check Acceptable <br /> Third Party <br /> DECLARED VALUE: Where the rale is dependent on value, shippers are required to state specifically in The carrier shall not make delivery of this shipment without payment of freight and all other lawful <br /> writing the agreed or declared value of the property as follows: charges. <br /> The agreed or declared value of the property is specifically stated by the shipper to be not <br /> Shipper Signature <br /> exceeding per <br /> NOTE Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C . - 14706(c) (1 )(A) and (B). <br /> RECEIVED, subject to Individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rales, classifications and rules that have been <br /> established by the carrier and are available to the shipper on request The property described above, in apparent good order, except as noted (contents and condition of comerds of packages unknown), marked, <br /> consigned, and destined as shown above, which said carrier agrees to carry to destination, it on its route, or other wise deliver to another carrier on the mato to destination. Every service to be performed harounder <br /> shall be subject to all bill of lading terms and conditions in the governing classification on the date of the shipment, Shipper hereby certifies that he is hereby familiar with all the bill of lading terms and conditions in <br /> the governing classification and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns. <br /> This Is to certify that the above named materials aro property classified, descr bad, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the <br /> Department of Transportation. <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Freight Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> NEVADA <br /> C] By Shipper E:] By shipper <br /> SHIPPER SIGNATURE/ DATE DRIVER <br /> ❑ By Driver ❑ BY Driver / pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI SmanBOL Classic v12.3. 1 <br />
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