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COMPLIANCE INFO_2019
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2200 - Hazardous Waste Program
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PR0513661
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
10/7/2020 8:46:46 AM
Creation date
6/17/2020 8:06:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0513661
PE
2227
FACILITY_ID
FA0009133
FACILITY_NAME
BELKORP AG - STOCKTON
STREET_NUMBER
1120
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206-0020
APN
16320021
CURRENT_STATUS
01
SITE_LOCATION
1120 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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i'. P <br /> 1514*011mental services Division <br /> E RGEIM, Mallf'19:P.O,190X 176,Sallao,CA 96303 <br /> ESNP Consolidated Manifest 4q12 Kfarnan Court.SallEIR,CA 06368 <br /> 0 L 9XIN Phone;20M46-0791 FAX209-546-2241 <br /> PICITROLEUrn pRoZ)UcT5 COMPANY EPA 9 CAROPOO47010 <br /> Invoice <br /> GA TrAnflPortor Number 3644 <br /> CA Llonnae N 7W18 <br /> LENERATIDR- <br /> tiv-0ire N 0- 40 <br /> Site EPA ID J <br /> j Invoice Date: A <br /> Contact Person: <br /> E <br /> it. <br /> N <br /> P <br /> E <br /> AID <br /> ATOR <br /> GEORGE <br /> _n <br /> u!? <br /> c'p-rs... <br /> C."'a <br /> R Ij J Driver printed signature: <br /> Hume: <br /> Truck#: `7 `(_ <br /> Address-. -y <br /> q PO* <br /> City, t Zf <br /> State,Zip, <br /> Site <br /> Phone:,. nq <br /> TERMS: <br /> Product shipping Name Waste CA Manifest#0 <br /> Code Quantity units Price Amount <br /> Non-RQRA Hazardous Waste Liquid(Used.011);Lubricating 221 Gal <br /> Non-RCRA Hazardous Waste Lfquld(Used 011): fndusirla[ 221 cal <br /> Non RCRA Hazardous Waste 1.4uld(Used Automoliva AndfreeZe) 134 Out <br /> Non-RGRAHazardous Wasle Liquid(01t&Water) 223 h <br /> Gni <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 C' t <br /> lorum(s) q I <br /> Drained Used Oil Filter orum(s) "3c'g <br /> VnIm(!;) -'� 7,S. <br /> Empty Drum(s) <br /> Each "WAS <br /> Transportation&Truck Time <br /> HR. <br /> Unless OthOnvise spadlind on this Consoltdated ManlfdsL Receipt(InWI00)Torms:Aocavnts due on the lah of the month fallowing morilhofpurctiose.past dun Total <br /> 8000unts vM be charged a FINANCE CHARGE at tho PERIODIC RATE of 1-IJ2%per month,which Is the ANNUAL PERCENTAa RATE of 18%. <br /> By signing F hereby cortify that]have nol mixed any of-ihe waste described aDOVewlIn any other hazardous waste, <br /> the total halide content 1:i;1 1 <br /> 1 3 thanppm.and Vie <br /> waste does not contain any PCB's,I have compiled wilh the requirements or the applicable California used all management regulation to determine IN:! !I!: Crus.I agree to <br /> accept the additional charges for the disposal of the waste it the Information 1 have provided about this waste Is Inoarrect. <br /> Generator's Certification: By signing I carllfy that If I am a W00 quantity generator, I certify that I have program In Place to reduce iho volume and toxicity of wade <br /> ganar=d to IKG daorao I havo determined to be economiceNy affordable and that I have selected the practicable M0010d or treatment,storage.Or disposal currently <br /> Ovalleble to me Which minimizes the present and future threat to human life and the environment.Or,if J am a small quantity generator,I have made a Good Faith effort to <br /> minimize my waste generation and select the waste management method that Is available to me that I can afford. <br /> George W.Lowry,Ina.hereby advises the above Generator that generators shipment of Used ON and 011yA'Vater may be transported to a facility that is required to comply <br /> with federal regurations applicable to management of Used Oil and Oily/Water, but that Is nol required to comply with the more stringent requirements appffcablE to <br /> hazardous waste management rao[itiles,calfforrila facIlIfles that handle or process Used Oil and Ofity(Water are required to meet those more stringent requInements,and <br /> $01110 out-of-state facilities that process Used Oil and Oily/Water also meet those requirements,engineering cG111500116ns of tank integrity,and,.Rnanclal assurances for <br /> closure and accidental releases.It is lawful to send Used Oil and 011YWalel to Out of state facilities that compjy�o'nly wlih federal Used 01 and OIIYAVpter management <br /> standards and not these more stringent requirements. <br /> This notification is for the informational pu' esfanly <br /> By both parties signing this Invoice it :4706,8js 54greement that George W.Lowry,Inc. will submit confirmation for(curtain waste streams)to the generator that their <br /> waste has been transported to a per <br /> It4d irajA- fdy f'cilify or permitted tr(1811110AI,storage or disposal facility. <br /> Lowry Driver Signature X <br /> Date i'F..k <br /> Signature of Generator,Zilreserlfatfve or Agent of Generator., X <br /> Date <br /> Recyoiing,Transfer, Mont, Storage,DISPOSar FacilitiesName: <br /> d <br /> FAddross-, <br /> 13 13 <br /> State, <br /> Bakersfield Transfer California Oil Recycling Ramos Environmental Yuma Environmental CRY,State.Zip; <br /> 1620 E.Brundage Lane 5300 Claus Road 1515$.River Rand 2730 E.13th <br /> Sakersilard,CA 93307 Riverbank,CA 08367 West Sacramento.CA 115691 Yuma,AZ,85365 <br /> 691-322-8268 20D.863-8181 916.371-$T47 928,344-9025 <br /> CAL0002825� CAL0000190alk CAD004003556 <br /> 411 AZR0005I5824 EPA 10; <br />
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