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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
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EHD - Public
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Universal Service Recycling Inc. <br /> 3200 South EI Dorado Street /NIVERSAL <br /> Stockton, 9- 95-95 SERVI; * / ' / 0 <br /> Phone: 2099449555 ///JJ. Ec uNG _• / / <br /> Fax 209-9445552 <br /> 9t <br /> Web: www.usrscrap.com <br /> RC 13349 <br /> PR 147249.001 WEIGHMASTER CERTIFICATE <br /> Ja>suar Heaven 11/6/2017 <br /> Jal;uar Heaven Ticket# 770989 <br /> 1433 Tillie Lewis Drive <br /> Stockton/CA/95206 <br /> 94844G1 Ticket# 770989 <br /> 11:25:48 11/6/2017 <br /> Material Gross Tare Net UM Unit Price Amount <br /> 755-Batteries Whole-Rinks 1,681.00 50.00 1,631.00 LB $0.2800 $456.68 <br /> 755-Batteries Whole-Rinks 896.00 35.00 861.00 LB $0.2800 $241.08 <br /> Total $69776 <br /> wEIGHMASTER CERTIFICATE: <br /> THIS IS TO CERTIFY that the following described commodity,was weighed,measnued 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 Measmement Standards of the California Department of Food and Agriculture <br /> DEPUTY WEIGIRAASTER SIGNATURE: Alexis <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 fall,hereby ackrmwledged,I sell and convey title of same to: Universal Service <br /> ••Recycling Inc. I warmat that this material does not contain any hazardous substance as defined by the federal and/or state law,and I agree to indemnify <br /> Purchaser/Payer if this is untnce I declare under penalty of petjmy that the foregoing is true and correct- <br /> HOLD <br /> orrectHOLD HARMLESS AGREEMENT AND WAIVER OF LL4BILITY Seller,customer,and driver will indemnify,and hold buyer harmless from any and all <br /> liabilities,damages,and demands,mcl ding recon a ey's fees,resulting from breach of any warrant,to person and property hereunder and seller, <br /> customer and drive agrees to be respo I k for to yehide 4ile loading or unloading scrap materials <br /> Seller's Signature X { 11/6/2017 11:25:48AM Page 1 of I <br /> V <br />
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