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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 /NIVERSAL <br /> Stockton, CA 95206 Sgpvlc *7705 * <br /> 7 7 0 J` <br /> Phone: 209-944555 EIC uNo <br /> Fax 209-9445552 �. <br /> Web:www.usrscrap.com <br /> RC 13349 <br /> PR 147249.001 WEIGHMASTER CERTIFICATE <br /> Jaguar Heaven 11/6/2017 <br /> Jaguar Heaven Ticket# 770558 <br /> 1433 Tillie Lewis Drive <br /> Stockton/CA/95206 <br /> Ticket# 770558 <br /> - 11:27:47 11/6/2017 <br /> Material Guess Tare Net UM Unit Price Amount <br /> 755-Batteries Whole-ADJ768673 1,727.00 0.00 1,727-00 LB $0.2800 $483.56 <br /> 755-Batteries Whole-Rinks 1.00 1,728.00 -1,727-00 LB $0.1200 $-207.24 <br /> - Total $276.32 <br /> ate` <br /> W slGl*AAsfm CERTIFICATE: <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured or counted by a weighmaster,whose signature is on this certificate, <br /> who is a recognized authority of accuracy, as prescribed by chapter 7 (commencing with Section 12700) of Division 5 of the California Business and <br /> Professions Code,administered by the Division of Measurement Standards of the Caltbmia Department of Food and Agriculture. <br /> DEPUTY WEIGIIMASTER SIGNATURE: Maids <br /> Weighed at 3200 South El 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 /> faa valid State redemption material and that fur 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 arty hazardous substance as defined by the federal and/or state law,and I agree to indemnify <br /> Purchaser/Payer if this is untrue I declare under penalty ofperjury that the foregoing is true and correct_ <br /> HOLD HARMLESS AGREEMENT AND WAIVER OF LIABILITY Seller,customer,and driver will indemnify and hold buy"harmless from any and all <br /> liabilities,damages,and demands,inciluding reasonablevehi s fees,resulting from breach of any warrant,to person and property hereunder and seller, <br /> custom"and driver ogees m be ble far n while 1 mg.or unloading scrap materials. <br /> Seller's Signature X ' I I V2017 11:27:47AM Page I of I <br />
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