Laserfiche WebLink
1404 S Fresno Ave, Stockton Record ID PR0513881 <br /> 10/24/2019 Hazardous Waste <br /> Photo 6: An incom Tete treated wood waste dis osal form. <br /> Treated Wood Waste Generator Form (TWWGF) <br /> • Generator Name: <br /> Co <br /> • Generator EPA ID Number: <br /> Generator Contantacc t:: '� �REPUBLIC ExP <br /> • SERVICES <br /> tiA 4264 Forward Ir <br /> • Generator Mailing Address: Regaealed Dlaposal FSCr tl- <br /> �?' r7'Snc> i•`�,f-f U /'i'U-. C R 7rfY7{v 1, @enerntor Intorinatlon <br /> • Generator Contact Phone; Generator Name. CRM Cc I-c <br /> 7SM4 5'/,S 8 Generator S le Addreee:1464 S.Fresno A <br /> Coun <br /> City: n <br /> • Generator Contact Email: su+e lD(R"DiRe9 No,14aState AF <br /> 1 f ri Generator Main Address iif ditrantl'' <br /> CI'C'fr+r n.�.io Cbdn ' <br /> City swo kion - Slue K78uSs <br /> • Location of Material Generation: Ganeretorr-oMact Narse. <br /> /yraN S' <br /> �'<Sne Y7✓,Gr_.Efw� (A 15.�a S� Phone Numhe{: 195fi}584-5556 <br /> Billing IrHorrnatlen <br /> • Total Annual Quantity(Lbs or Tons)of TWW that GeneratorW.C.Maloney Inc <br /> Anticipates Sending For Disposal in Current Calendar Year: 9BIing Address: Po Borc3652B <br /> cdy s�eiden <br /> _ Ip, Waste Stream Information <br /> • Generator Certification that Total Quantity Generated for Current Naraeolwasle: ❑Diesel Feel <br /> Home Headnr <br /> Calendar Year is Anticipated to be less than 10,000 lbs,cify ❑Kerosene <br /> 3 Ilcdbl " 0 Aviaden Fuel <br /> ,.l}p............. gnature: ' a°"t ❑Hydraulic Flr <br /> [t unleaded <br /> jqn ceas Generating Waste:Re}I Roe <br /> For lnternal Use <br /> Disposal Facility: Memod of Shlpmenc, gi BULK <br /> r,r,e rxl Annual Volume: 26 <br /> Profile/Approval Number: Frequency, MONETIME <br /> IV. Certification <br /> I hereby ce&y that to the best 01 my <br /> West.material being offered for diS4 <br /> - ill deliver for disposal or <br /> iniadious waste,or any other Wash <br /> indemnity tnis disposal tadldy agaa <br /> company has not altered the form. <br /> Sifts Krau <br /> eVthnrli d R' <br /> r uve NamerT <br /> John Alaniz, REHS Page 6 of 6 <br />