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COMPLIANCE INFO_2019
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0528931
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
7/10/2020 4:35:30 PM
Creation date
7/10/2020 12:56:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0528931
PE
2220
FACILITY_ID
FA0016955
FACILITY_NAME
SKS ENT
STREET_NUMBER
18832
STREET_NAME
MELLO
STREET_TYPE
AVE
City
RIPON
Zip
95366
APN
24513017
CURRENT_STATUS
01
SITE_LOCATION
18832 MELLO AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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CSG SK -SSL -UMO -03 Brian Mcdonald 10/31/19 09 : 42 PAGE 1 <br /> Safety - K3een Systems , Inc . <br /> 2600 N Central Expy , Suite 200 <br /> Richardson , TX 75080 <br /> CORPORATE : 800 -669 - 5740 <br /> 24 HR EMERGENCY : 800 - 4684760 (Safety - Kleen) <br /> 2095451011 <br /> REFERENCE NBR . <br /> CUSTOMER# SKOSS10 SKS 81449068 - 1905632430 <br /> 18832 Mello Rd SRVC WEEK': 2019 - 46 <br /> Ripon CA 95366 -8601 SRVC DATE : 10/31/19 <br /> PHONE 209 -599 - 409S <br /> BILL TO CUSTOMER# BILL TO ADDRESS : <br /> SKO8510 SKS <br /> 18832 Mello Rd <br /> Ripon CA 95366 -8601 <br /> PHONE 209 - 599 - 4095 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT /SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 10256 FEE , OIL SERVICE/51011 NON 1 . 000 175 . 4500 0 . 00 175 . 45 <br /> SERVICE TERM a WEEK <br /> 6b665 ANTIFREEZE QVON-PREQUAL) 1 . 000 0 . 0000 0 . 00 0 . 00 <br /> CAUSE CODE VOIDNEADERANDLINE -SERVICE NOT NEEDED <br /> 66636 USED OIL RECYCLE AUTOMOTI 100 . 000 1 . 1400 0 . 00 114 . 00 <br /> SERVICE TERMS WEEK <br /> HALOGEN / CLOR -D -TECT TEST RESULT PASS : PPM < 1000 '.. <br /> TOTAL SERVICE/PRODUCTS / 176 . 5900 0 . 00 289 . 4S <br /> ree /tel TOTAL CHARGE 289 . 45 <br /> CREDITS 0 . 00 <br /> j TOTAL DUE 289 . 45 <br /> UNPAID BALANCE &IS RECEIPT 289 . 45 <br /> if high risk source , rep , certifies that load specific PCB & Silicon <br /> testing have been completed prior to pumping this load . <br /> GENERATOR STATUS <br /> CESQG : Vehicle <br /> Customer LerLifies that (i) the above - uarred materials are properly <br /> Llasslfled , packaged , marked and labeled , and are in proper LundiLrun <br /> fm• LransportaLion according to the applicable regulations of the <br /> Departmeul of Transportation .( ii) nu material Chdnge has eLCUrred <br /> eiiber in Lire Ll,aratieriaiits of Lire w,isle/ uu, LILi ial ur ' ill Lite prutess - - <br /> generating the waste/material , and (iii) the above referenced <br /> Generator Status is correct . Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Conditions Provided separately to Customer or (b) <br /> any SK agreement signed by Customer and SK , and (2) incorporated <br /> herein by reference . Unless otherwise -indicated in tare payment <br /> received section , SK is authorized to charge Customer ' s account for <br /> this transaction . If Customer fails to make ' payment when due , an <br /> ainount equal to the lesser of (i) 1 . S96 " per month (18% per annunD or <br /> (ii) the maximum amount allowed by law , will be added to all unpaid <br /> amounts outstanding . Customer certifies that tire individual signing ! ' <br /> this Ser'V7Ce ACkriei4lCdgelnepL is duly authorized to sign arid bind <br /> Customer . Customer acknowledges that it is responsible fur maintaining <br /> its Generator Status and obtaining air EPA ID number if required by <br /> applicable law . The following provision is applicable to <br /> Safety- Kleen ' s parts Lleduer and paint gun cleaner services : CUltolller <br /> agrees that it will riot introduce any substance into the solvent or <br /> aqueous cleaning solution , including without limitation any hazardous <br /> waste or hazardous wdste constituent , Except to the extent such <br /> introduction is incidental to the normal use of the machine . Customer <br /> further agrees that it will riot clean parts/paint guns that have been <br /> Coptaninated With or otherwise introduce polychlorinated biphenyls <br /> QrCB ' s) , herbicides , pesticides , dioxins or listed hazardous waste <br /> into the solvent or aqueous cleaning solution . Safety- Kleen has the <br /> capacity and is Permitted to accept , store , and/or reclaim Lite spent <br /> parts washer solvent ; paint thinners , sulvepts and paints geuerated by <br /> customers ; or• dry cleaning filter cartridges , powder , arid still <br /> residues Containing perchloruethyl'ene , petroleum naphtha , or <br /> tit iflurolrirhloroethane dry cleaning solvents . Customer agrees that it <br /> is responsible for properly classifying its waste streams as Used Oil <br /> or Nonhazardous Waste iu accordance with the provision of 40 CFR <br /> 262 . 11 and applicable state laws . Customer agrees that it will not <br /> introduce auy . nou- conforming substance into the SK Property , <br /> including , without 1hilitatiun , any hazardous waste ur hazardous waste <br /> Constituent , (i . e . , polychlorinated biphenyls (" PCBs") , herbicides , <br /> pesticides , dioxins , or listed hazardous wastes) except to the extent <br /> such introduction is incidental to the normal use of the SK Property . <br /> In the event of the introduction of such non- Confurming hazardous <br /> waste , Customer agrees that it will be responsible for all costs and <br /> remediation expenses related to or arising from the Proper mtandgemert <br /> and disposal of the non - conforming waste , including the cost of <br /> equipment decontamination and subsequent disposal . Final invuiting <br /> will be based on the actual services provided , which may include <br /> additional charges for off specification waste ani surcharges . Final <br /> invoice amount may be more than the amount listed un the printed <br /> receipt . If anv leual action is commenced because of an alleged <br />
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