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COMPLIANCE INFO_2010
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0514166
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COMPLIANCE INFO_2010
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Entry Properties
Last modified
6/23/2020 3:32:03 PM
Creation date
6/23/2020 1:36:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010
RECORD_ID
PR0514166
PE
2220
FACILITY_ID
FA0010096
FACILITY_NAME
BROOKSIDE GOLF & COUNTRY CLUB
STREET_NUMBER
3131
STREET_NAME
BROOKSIDE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
11811036
CURRENT_STATUS
01
SITE_LOCATION
3131 BROOKSIDE RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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3131 Brookside Rd, Stockton Record ID PR0514166 <br /> 4/12/2019 <br /> Photo 7: Consolidated manifest receipt invoice number 156164 (6/20/2017)from American Valley Waste Oil for the pickup of used oil was observed <br /> missin the name, address, and identification number of the authorized facility to which the hazardous waste was transported to. <br /> A 1111^; N VA L 1. �r <br /> VA <br /> WASTE OIL, INC. I1' <br /> PO.Bax 340-Delhi,CA 95315 <br /> PH 1.800-732-4645•FAX 209-668-3880 <br /> 1 <br /> BILL TO Bf a;t1n n <br /> JOB SITE: 31 1I4 )IF 14 k. Invoice Date: <br /> x Mnk< i l lr,:i <br /> r4 Customer P.O. --- - <br /> �Term�.�, G fiaj� i EPA# , <br /> PRODUCT SHIPPING DESCRIPTION —'— �WASTE MANIFEST QUANTITY! PRICE AMOUNT <br /> ---FWASTE <br /> CODE <br /> ------ 1---- ----- <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> h <br /> NON-RCRA Waste Liquid Used Oily Water 233 <br /> F-- <br /> Drained Used Oil Filters <br /> f <br /> i <br /> r i <br /> 1 I <br /> TERMS:Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By signing I herby certify that I have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1.000 ppm,and the <br /> waste does not contain any PCBs.I have complied with the requirements of the applicable California used oil management regulation to determine this is true.I agree to I <br /> accept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect. <br /> j Generator's Certification:By signing I certify that if I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste <br /> generat-ed to the degree I have determined to be economically affordable and that I have selected the practicable method of treatment,storage,or disposal currently available to me <br /> J which minimizes the present and future threat to human life and the environment:Or,if 1 am a small quantity generator,I have made a Good faith effort to minimize my waste I1I1I1 <br /> generation and select the waste management method that is available to me that I can afford. I <br /> American Valley waste Oil hereby advises the above Generator that generators shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facili- <br /> ties.California facilities that handle or process used oil are required to meet those more stringent requirement,and some out-of-state facilities that process used oil also meet <br /> those requirements,engineering certifications of tank integrity,and financial assurances for closure and accidental releases,it is lawful to send used oil to out of state facilities <br /> that comply only with federal used oil management standards and not these more stringent requirements. <br /> This notification is for information purposes only. <br /> By both parties signing this invoice It will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the generator that their <br /> ,:. waste has been transported to a licensed treatment or transfer facility. <br /> GENERATOR/ <br /> DRIVER AUTHORIZED i <br /> w SIGNATURE'. DATE:' - SIGNATURE. - - DATE: <br /> —=---- --T-- --------- -- - —� <br /> 't_ I?ISP�SAL/RErYCLING FACILITY <br /> DK-DIXON O ASBURY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER 0 CFR 0 GLOBAL MATERIAL MGMT I <br /> 7800 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 2035 E.15TH ST. 1640 N.BROADWAY <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA95367 LA,CA 90021 STOCKTON,CA 95205 <br /> 707.093-6008 707-693-6008 209-863-8181 213-746-0237 818-770-2577 <br /> SOPA#CAT080012602 EPA#CAL000393680 EPA#CALODO 190816 EPA#CAL000270577 EPA#CAL000417316 y <br /> MPC(7'20161 <br /> John Alaniz, REHS Page 7 of 12 <br />
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