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COMPLIANCE INFO_2020
EnvironmentalHealth
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PR0514062
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
8/18/2020 3:30:34 PM
Creation date
8/3/2020 4:47:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0514062
PE
2220
FACILITY_ID
FA0003954
FACILITY_NAME
SJ CO PUBLIC WORKS CORP YARD*
STREET_NUMBER
1810
Direction
E
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
15518002
CURRENT_STATUS
01
SITE_LOCATION
1810 E HAZELTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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CSG SIC-SSL-UMO-01 Joseph R Lima Jr 06/11/19 11:4S PAGE 1 <br /> Safety-Kleen Systems, Inc , <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75060 <br /> CORPORATE. 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# SA32680 San Joaquin Co Maintenance 80246156-1903001081 <br /> 1810 E Hazelton Ave SRVC WEEK: 2019-24 <br /> Stockton CA 95205-6232 SRVC DATE: 06/11/19 <br /> PHONE 209-468-3099 <br /> BILL TO CUSTOMERS BILL TO ADDRESS: <br /> SA32680 San Joaquin Co Maintenance <br /> 1810 E Hazelton Ave <br /> Stockton CA 95205-6232 <br /> PHONE 209-468-3099 <br /> PURCHASE ORDER# 251800 TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 10256 FEE, OIL SERVICE/STDP NON 1.000 192.5000 0.00 182.50 <br /> SERVICE TERN 8 WEEK <br /> 66636 USED OIL RECYCLE A MM017 250.000 0.0000 0.00 0.00 <br /> SERVICE TERM 8 WEEK <br /> HALOGEN /CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 182.5000 0.00 182.50 <br /> TOTAL CHARGE 182.50 <br /> CREDITS 0.00 <br /> TOTAL DUE --- --10x.50 <br /> UNPAID BALANCE THUS RECEIPT 182.50 <br /> If high risA source, rep. certifies that load sperific PCB &Silicon <br /> testing have been completed prior to pumping this 'load, <br /> GENERATOR ! tlS <br /> CESQG: Vehi,i. <br /> a"ustou�er [r>{ir iec thal Ci? the abovr named materials .:re properlD <br /> classified, 1ja5kayrd, mar'—d afid labeled, and are in proper condition <br /> for transportation as<,,rdiny to tree applit,able regulations of the <br /> Department of Trauspor-fatio., (ii) ,, i;ilterial rhange has oc-,,,ed <br /> Aither in the rb.,,,,.T— 7 <br /> -:=nerativa tae .,.a:�,��.,.. ,.U;kl.U',7J_che above referenced <br />
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