Laserfiche WebLink
11111wrill <br />M, ki <br />ENVIRONMENTAL SERVICES* <br />San Joaquin County Permanent HH W Collection Facility <br />7&50 South R. A Bridgefbrd Street <br />Stockton, CA 95206 <br />Direct : 209468-W70 <br />Fax: 209-468-5672 <br />CESQG DATA SHEET & WAIVER <br />Business Infomumon- <br />California top i'Thien Phan <br />12224 Manthey Rd. <br />Stockton Ca 95206 1209-462-7627 EPA # CAL000271840 <br />SWness Waiver <br />State and federal hazardous waste laws limit the use of this type of waste collection programs to those businesses that <br />generate less than 100 kilgrams (27 gallons or 220 pounds) of hazardous waste per month. Businesses that generate more <br />than this amount are required by law to use a licensed hazardous waste hauler to manifest and transport their waste. <br />Therefore, in order to participate in this program, you must sign the following wasiver of liability. We reserve the right to rrev] <br />y*ur ?*Au,21.o�2xifeststr oiAsult mAX 'Ae QtuxV ErivirtAmentaMeaK.1% 1�&AaKmeat t*,iatr-rww-tiia ytyr eligi�Jlity ftr Yse -if thi <br />program. Thank you. I <br />UJI k 0 ' <br />(To be completed by collection personnel) <br />Item Gallons Pounds # of Cont. Price Total <br />Flarnrnabie Liquid (Gasoline) <br />IM11011 <br />Comments: <br />