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COMPLIANCE INFO_PRE 219
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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2200 - Hazardous Waste Program
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PR0521368
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COMPLIANCE INFO_PRE 219
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Entry Properties
Last modified
9/21/2020 3:05:40 PM
Creation date
9/21/2020 12:29:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 219
RECORD_ID
PR0521368
PE
2220
FACILITY_ID
FA0013833
FACILITY_NAME
WILSON & COFFEY APPLIANCES
STREET_NUMBER
2617
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16531017
CURRENT_STATUS
01
SITE_LOCATION
2617 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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y WEIGHMASTER CERTIFIC .,. j SIMS <br /> � <br /> TRUCK SCALE METAL <br /> wEaxrunTEa CERTffICATE <br /> THIS Is TO CERTIFY thee the b illb"de:<w.a cammoatY wee wNened,r aewred.or munud by.w Wnu bar,v , <br /> Ti kit #: TC I GPN __a on ate ca beceee.who •,.cop sz.d..,no ey d ac—al a,m.,crb.a by eheerw 1l con.nanc.q wnh sateen <br /> ,21001 a DMrbn a of 0e, ry <br /> Ceplas ai eco ab,Prdaauans CaW <br /> te mmelwed by his 01-11 If 1Aee,wam.nr Ster old,M <br /> Purchased From: PRUI00 SHIP DATE: 12/08/11 ZCaaon,eDepWnewt&Food end Agmown, Control No:: 13 167225 <br /> Pruitt, Craig (Cfc) WEIGHED AT: 13 STOCKTON PRO144 RC5049 <br /> 1886 E 13TH ST 1000 SOUTH AURORA STREET <br /> N8688314 STOCKTON, CA 95206 <br /> Stockton, CA 95206 209-948-4000 <br /> Veh # TK 3Y94074 ID # 3Y94074 <br /> SHPMNT# COMMODITY GROSS TARE NET ADJ REASON PD WT RED C/W RD EXT CBK FRT PRICE TOTAL AMT <br /> TCIGPN Bundling Melt/ in 9860a 6620a 3240 0 3240 0.0 0.00 0.00 180.000ONT 291.60 <br /> ALL WEIGHTS ARE REPORTED IN POUNDS UNLESS OTHERWISE INDICATED. ALL NON-POUND WEIGHTS ARE ASSUMED TO BE MANUAL WEIGHTS <br /> TOTALS 3240 0 3240 0.0 0.00 0.00 291.60 <br /> +-------------------- <br /> GRS Date 12/08/11 IMETRIC TON <br /> DEPUTY WEIGHMASTER SI NATURE GRS Time 14:25 1.4696 <br /> (Marco Martinez) TRE Date 12/08/11 <br /> CUSTOMEfR SIGNATUREI <br /> TRE Time 14:51 <br /> a=SCALE 1 b=SCALE 2 c=SCAL 3 d=SCALE 4 m=MANUAL WEIGHT +-------------------+ > - <br /> NOT REFUNDABLE MORE THAN 90 DAYS FROM ABOVE DATE <br /> Customer Copy <br /> In scordance with the Clean Air Act and other III bis laws,seller must sign the Scrap Acceptance Agreement form prvided at the scale at least onetime every 3 years.which applies to any racyclables in the transaction which may contain or have contained ref igeren <br /> or other potential Hazardous Materials. <br /> F R SALVAGE V HICLE SALES:I hereby certify,under penalty of perjury that any vehicle sold hes been cleared for dismantling with the Department of Motor Vehicles. <br /> HOLD HARMLESS AGREEMENT Seiler will i mndy and hold yet harmless for damages,demands and liabilities.including reasonable attorneys fees.resulting from the breach of any warranty hereunder and diner agrees to ba responsible for damage to vehicle <br /> during unloading. <br /> BILL OF SALE I warrent that I em the owner(or ner's represere live)of the material described hereon and have the right to sell same,that d contains Ito He"nious Materiel as defined in the Scrap Acceptance Agreement or otherwise by any federal or state law and <br /> that for payment hereby received.I sell and convey title to Sims Hugo Neu <br /> Seller certifies that all refrigerant including cat not limited Chlorofluorocarbons and Hydrochlorofluorocarbons(collectively"CFC's")Refrigerants and their substitutes as defined in section 608 of the Clean Air Act that has <br /> not leaked previously have been retOveretl from applianC and motor vehicles prior to delivery. I understand it is unlawful to release Freon and CFC's into the atmosphere and that any CFC'S must be properly removed <br /> before appliances or motor vehicle air Gond Boners can b recycled. I verity that either(check one): <br /> (1)all CFC's previously eked from lhi container,or <br /> (2)all CFC's were proply recoveretl i accordance with 40 C.F.R.Section 82.156(g)and(h)by: <br /> EI vendedor certifica que todos los refrigera les incluyend pero no limitado a CFC's y HCFC's Refrigerantes y sus substitutos tomo se define en la secci6n 608 del Acta de Aire Limpio que no ha goteado previamente han <br /> sldo recuperados de los electrodomesticos autom6viles rites de ser entregados. <br /> Yo entiendo que es contra la ley liberar Fre n y otros clor fluorocarbonos y hydroclorofluorocarbonos(legalmente Ilamados CFCs)en el airs y que todos los CFC's lienen que estar removidos apropiadamenle antes de que <br /> los aparatos o aire acondicionados de los c rros puedan r reciclados. Yo verifique que(cheque uno): <br /> 7 (1)todos los CFC's han do previame to evacuados de este conlenedor,o <br /> (2)todos los CFC's fuer recuperado en forma appropiada de acuerdo con 40 C.F.R.Section 82.156(g)y(h)por: <br /> Name/Nombre: <br /> Address/Direction: <br /> Date/Fecha: <br /> Seller Signed/Seller Firma: <br /> Printed Name/Nombre: <br /> Date/Fecha: <br /> Seller's Warrant/Seller's Warrant:Seller war nits and repr ants to the Purchaser the material transferred,by the Seller to the Purchaser pursuant to this Agreement is not and does not contain a'hazardous substance-as <br /> said term is defined in the current applicable ederal or stat environmental laws,rules.or regulations. In the event Purchaser incurs any liability or obligation due to a breach of said warranty and representation,Seller <br /> agrees to indemnity and hold Purchaser har less from all ch liabilities and obligations. Notwithstanding the foregoing,nothing set forth herein shall constitute a waiver by Seller of any rights under the law pursuant to any <br /> written or oral agreements that it may have a ainst any enti <br /> EL VENDEDOR GARANTIZA.EI vendedor g rantiza y repr senta at Comprador que el material transferido,por el Vendedor al Comprador de acuerdo a este acuerdo no es y no contiene`substantias peligrosas"como se <br /> dijo en a termino como se define en las to <br /> reglas,o reg laciones ambientales federales y estatales. En el evento que el Comprador incurra alguna responsabilidad u obligation por el rompimiento de dicha garanto y <br /> representation. EI Vendedor acuerdo en ind mnizar y no cer responsable al Comprador de toda dicha responsabilidad y obligaci6n. No obstante to precedente,nada dicho aqui constituira una renuncia por el Vendedor <br /> de cualquier derecho bajo la ley seg6n cualq ier acuerdo a crito u oral que pueda toner en contra de cualquier entidad" <br />
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