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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MICKE GROVE
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11793
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2200 - Hazardous Waste Program
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PR0514036
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
6/22/2020 12:19:49 PM
Creation date
6/22/2020 12:09:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0514036
PE
2220
FACILITY_ID
FA0000287
FACILITY_NAME
SJC MICKE GROVE PARK
STREET_NUMBER
11793
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
11793 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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i <br /> I <br /> F�n SINCE 1979 CUSTOM LZ 4 : 343b6 <br /> . M10 19VOICE # : 172440 <br /> f;NVIRONMGNTAI. Sr:RVICGSR C1 '� U [ 0 OrC 0 i 2018 <br /> V� gc( $ Z IUVO.ICE DATE : 11 / 26 / 18 <br /> EPA I. D. # CAD044003556 DUE DATE : 12 / 11 / 18 <br /> Hazardous Waste Haulers Lic. #0518 RP <br /> I U;) b I . i U Wa )t� <br /> Vim© z © 54 6( (0 L� <br /> BILL TO : � /)I d v LOCATION : M.LCGRV <br /> MICKE GROVE PARIS ?S HICI E GROVE PARK/ CTY SAN JOA . <br /> 11793 N . MICIGE G OV E; ROAD 11793 N HICKS GROVE ROAD <br /> LORI , CA 95240 LODI , CA 95240 <br /> n . no F 0 <br /> Purchase Order go : IE . P . A . 111 : CAL000248288 <br /> Service Order No : 1. 8152 Manifest k1o : 019912242JJK <br /> DESCRIPTION QUANTITY PRICE AMOUNT 1. Ax <br /> 12112118II1ZARDOtJSA►TE PTCIC ? , TZln35POk#mA`f'TON 6 DISPOSAL <br /> L: 6L / 12 / 10 GASOLINE , DEBRIS I . 00 DDI 425 . 0000 425 . 00 LV <br /> 11112118 DEL11MBED UNIA2 55G DRUPI 1 . 00 DRM 68 . 0000 68 . 00 Y <br /> 11 / 12119 ENERGY SURCHARGE - 5 % 24 . 65 Z <br /> 21 / 1213. 8 EPA E MMIIFEST EEE 20 . 00 N <br /> s� <br /> i17 <br /> RES JOBS §266142 <br /> SUBTOTAL : 537 . 65 <br /> 7 . 75 % SAIES TAX : 5 . 27 <br /> `I'O`?'AL : 542 . 92 <br /> f' LEASF. P/"% Y FROM THIS INVOICE <br /> NO STA EMENT WILL BE SENT <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 all <br /> reasonable costs and attorney fees Incurred in the collection of this obligation. Venue for purposes of enforcement of this obligation shall be Yolo County, <br /> P. O . Box 401 • 1515 South River Road • West Sacramento, CA 95691 • Office ; 916-371 -5747 • Fax: 916-371 -9312 <br /> 24 Hour Emergency Response Team : 1 -800-456-SPILL <br />
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