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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TILLIE LEWIS
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1433
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2200 - Hazardous Waste Program
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PR0514208
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
6/26/2020 11:53:14 PM
Creation date
6/24/2020 10:54:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0514208
PE
2220
FACILITY_ID
FA0010163
FACILITY_NAME
JAGUAR HEAVEN AUTO DISMANTLERS
STREET_NUMBER
1433
STREET_NAME
TILLIE LEWIS
STREET_TYPE
DR
City
STOCKTON
Zip
95206-1120
APN
16335002
CURRENT_STATUS
01
SITE_LOCATION
1433 TILLIE LEWIS DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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Universal Service Recycling Inc. <br /> 3200 South EI Dorado Street UNIVEatI6At <br /> Stockton, CA <br /> Fax:209-W-5552 <br /> 5 C <br /> ERSYII I II IIII IIII IIII IIII I �����I II <br /> Web:www.usrscrap.corn <br /> RC 13349 <br /> PR 147249.001 WEIGHMASTER CERTIFICATE <br /> Jaguar Heaven 1012712017 <br /> Ticket# 768673 <br /> Jaguar Heaver <br /> 1433 Tillie Lewis Drive <br /> Stockton/CA/95206 14:53:25 10/27/2017 <br /> 94844G1 Ticket# 768673 <br /> Ticket# 768673 By Anthony Cert No. RC13349 Dateffime 10/27/2017 2:53:23 PM <br /> Code Description Gross Tare Net UM Scrap CRV Amount <br /> 755 Batteries Whole-Rinks 1,757.00 30.00 1,727.00 LB 0.1200 _ $207.24 <br /> *****TWO HUNDRED SEVEN AND 24/100 Ticket Total: $207.24 <br /> Date Mode Check# Amount <br /> 10/27/2017 Check 79918 $207.24 <br /> WEIGHMASTER CERTIFICATE: <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured a counted by a weigbmaster,whose signore is on this certificate, <br /> who is a recognized authority of accuracy, as prescnW by chapter 7(commencing with Section 12700) of Division 5 of the California Busi <br /> curness and <br /> Professions Code,administered by the Division of Measurement Standards ofthe California Department of Food and Agriculture. <br /> DEPUTY WEIGHMASTER SIGNATURE: Anthony <br /> Weighed at 3200 South EI Dorado Street <br /> Stockton,California 95260 <br /> BILL OF SALE <br /> I hereby state that I am the lawful owner of the material described hereon,that I have a right to sell same,and that all State redemption material listed is in <br /> fact valid State redemption material and that for payment received in full,hereby acknowledged,I sell and convey title of same to: Universal Service <br /> Recycling Inc. I warrant that this material does not contain any hazardous substance as defined by the federal and/or state law,and I agree to indemnify <br /> PArchaser/Payer ifthis is untrue. I declare under penalty of pedury that the foregoing is true and career- <br /> HOLD <br /> orrectHOLD HARMLESS AGREEMENT AND WAIVER OF LIABILITY Seller,customer,and driver will indemnify and hold buyer harmless from any and all <br /> liabilities,damages,and demands,including teaonable attorneys fees,resulting from breach of any warrant,to person and property hereunder and seller, <br /> customer and driver agrees to be respousib r d,tmg to vehicle while loading or unloading scrap materials. <br /> Seller's Signature X \ �� 10/272017 2:53:25PM Page 1 of 1 <br />
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