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2617 S EI Dorado St, Stockton Record ID PR0521368 <br /> 6/18/2020 HW Inspection <br /> Photo 2: The facility takes all universal waste to the County Household Hazardous waste facility(except Freon waste). <br /> VP ai@ncyCle t IMwaltlr ", <br /> N11-116 t evdaly%CA 8111141 UAta: 9/21/1019 <br /> (41W Sol 4040 <br /> 1 Ime: 9:00 AM <br /> MLM I JUNALLY 9x9M'T SMALL QUANMY OINIRATOR WASTE CHECK-IN AND CERTIFICATION <br /> RICIIRT AND CIRTIFICATION STATEMENT <br /> To be completed by the I enllratrtl <br /> i y�,11h t#at ll.t1 MMrwtlw 41A-mat1,M N F014 a.4hd i haw,load and 11 kW-and the n1Mdm~-1r-1N.11111n11h,n 4111x,V4014 Or 11„alhYnnyy F—NA <br /> y .1„alphl nw,..ah.waaM Al.alda,l,r A.>w,am 1 Au1Aa1 1 wltN i1,a1 1--to by fad—l" <br /> tyl�tlw,Na-Alta Ity,dal I-W and Ilya qua,hhy.,F w lv d„ra mit aa1 awl Iba aaa111111d PAIM Fal Ow 1ytM,N w 1*Inbg dklluaad.It thta wrN+1%lalw tound <br /> *,aa1l.w1 awll,inmlthy 4nWil.M InMa4,nM..,4#moa w,ryor,l.hnlw tilt%IIpepMn 1 tow 1,11 nn,4sew a hwaldmlt wanF1 nwnllaat and mmgty wlth <br /> .,ltl aI mo-g daFMuw M mopmoialloft <br /> t.m1poliv Name VAlSon and t briny Apolnner Cnmpany Nap: victor Toms <br /> „ItlyrgrryArtrt1axe 15119.II 11,Ila.1115tt. EPA 10N C41,000 401 024 <br /> Ston ktral,r A r.J06 SI nature: d <br /> M15,tnc Nundtot Jt114 411'1'O l I Title: OOta: <br /> TD U COMPUTED 9r 9TERxWa CHECK-IN ATTLNDANT <br /> ulu AM 7pN1r11 r.1 oplanllwl Iwyrwu rnlalwasa OMp Cost <br /> tlan.FalotldxNwM.1IPPI Etc Cl.n r11.x. Ctivdll 11A 004. +iv.NW lalrro ipoundtl <br /> uw 5 1 55 a1 39 lbs Hrc <br /> 3,1 9 1 55 al 43 lbs $60.20 <br /> el"F mA Cana 16.7516s 5192.62 <br /> MIP1.111r 1111`11101" 51 S 1 55 N <br /> 5 1 55 al S.011bs 511.21 <br /> Ill NR 4.01 lbs $2.81 <br /> Aft0ne Irarcwrltq UW 3 1 18 L $15.50 <br /> Cft UW S 1 18 L 10 $3.60 <br /> 4"PhMOSCS"t muft <br /> UW 5 1 BOIL 24' - <br /> $2400 <br /> pnw"n9 F41a Total Pakl: OS <br /> Method at pin"; Cash I L'�► IN" Data: i 1 <br /> �q�,�-p1 Attetrdarlts Itrltlatf: <br /> John Alaniz, REHS Page 2 of 4 <br />