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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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1604
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2200 - Hazardous Waste Program
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PR0514347
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
6/25/2020 12:57:09 PM
Creation date
6/25/2020 11:16:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0514347
PE
2220
FACILITY_ID
FA0010483
FACILITY_NAME
HIGHLAND WHOLESALE FOODS INC
STREET_NUMBER
1604
STREET_NAME
TILLIE LEWIS
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
16336018
CURRENT_STATUS
01
SITE_LOCATION
1604 TILLIE LEWIS DR STE B
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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01 Sacramento 916J71 -2570 08 Williams 530.473.2811 REMIT TO : pp BOX ypi <br /> 03 Dixon 107$78.2061 09 Isleton gt6-777-5545 <br /> 04 Fairfield 707-425-67W 11 Marysville 530-743-4547 WEST SACRAMENTO, CA 95091 -0401 <br /> 05 Stockton XQ 466-6255 14 Lincoln 916$45.2179 <br /> P. O- BOX 401 061Yoodland 530-461 . M HAZARDOUS MATERIAL EMERGENCY <br /> 1 ""y7 <br /> )EST SACRAMENTO , CA 95691 -0401 CALL 1 -600-456-7745 <br /> ILL <br /> L44 <br /> I ' Scan here to sign up for Online BIII Pay —► ,� ; � ACCOUNT : 26021 <br /> ' � 'SMR INVOICE , 113604 <br /> o ..� _ <br /> WH : 27 <br /> DATEyo 00 : - 6 - 18 c <br /> 77. RM86072618 . S11 ` <br /> RAMOS OIL INC . <br /> PO BOX 401 <br /> HIGHWD WHOLESALE FOODS , INC WEST SACRAMENTO , CA 95691 = 0401 <br /> 1604TLLIE LEWIS DR STE B ° la ° u ° � 9111 ° o11oaaa � � , 1 ° ° Ila11o11 ° u9 ° ° ° aola10 ° lu ° 191 ° � 31 ° o � plo <br /> STOCtON , CA 95206 <br /> DO NOT ATTACH WITH STAPLE OR PAPERCLIP <br /> PLEASE DETACH AT PERFORATION AND RETURN UPPER PORTION WITH YOUR PAYMENT <br /> OUST- PURCHASEADER NUMBER SALESMAN TERMS <br /> DEL ZONE DUE DATE <br /> LISA BRISTOL INet 15 Days 0 01 - 10 - 18 <br /> CELIVERY DATE DRIVER TRUCK NUMBER TERMINAL <br /> 8 / LNUMBER <br /> 07 -26 - 18 85 DAN MART I 11202 <br /> PK <br /> r4oOF BULKE OR PRODUCT DELIVERED ORDERED DELIVERED TAXES <br /> PKG 'S SIZPRICE AMOUNT <br /> 1 1 / 55 RA S FLEET 15W40 CIC - 4 55 55 T Tj 2290 452 . g <br /> Ax STATE 81 L RECVCL I NC FAX 55 p o 22500 130 <br /> 2 05 <br /> I C 91 OIL SPILL TAX 55 0p . 00000 0 <br /> 1 1 / 6 RLLZ E A / F 50 / 50 6 6 T 6 . 3 600 381 <br /> i 1 Et1CiI R IVR �� CL d GLI= �SURCHARGE 1 1 T 25 0 08000 2 0 QO <br /> I <br /> I <br /> �jWOW <br /> 1 <br /> � 'Ay ,yt32019 Lj <br /> EN IRONMENTAL HEALTH <br /> DEPARTMENT e, _ . ; 2 2018 <br /> Ship to : <br /> SALES TAX -► 47 . 92 <br /> HIGHLAND PIHiOLESALE FOODS , INC <br /> 1604 TELLIE LEVIIS DR STE B <br /> STOCKTON , CA 95206 TOTAL 580 • 37 <br /> CUSTOMER AGREES TO PAY FINANCt CHARGE ON PAST DUE 13ALANCE OF 1 .5% PE MONTH OR <br /> THE MAXIMUAI RATE ALLOWED IN CLkSTOMER'S STATE OF RESIDENCE. WHICHEVER I LESS, AN <br /> FURTHER AGREES TO PAY REASONNEILE ATTORNEY'S FEES AND COSTS !F COLLECT N IS R <br /> OUIRED VENUE FOR PURPOSES OF eENDORSEMENT OF THIS OBLIGATION SHALNF YOL COU Y. <br /> ALL CLAIMS FOR ENVIRONMENTAL L DAMAGE DURING DELIVERY OF ANY RAM <br /> OIL PRODI-ICT MUST BE MADE WIT <br /> THIN 15 DAYS FOLLOWING DELIVERY N ERRORS IN PRICE, EXTENSION AND ADDITION SUBJECT TO CORRECTION. <br /> vL14ERED BY (SIGNATURE IN FUkt_L) RECEIVED IN GOOD ORDER <br /> A X ; TOTAL ►� 580 . 37 <br />
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