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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0536740
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COMPLIANCE INFO_2021
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Last modified
1/11/2021 2:34:11 PM
Creation date
1/11/2021 2:22:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0536740
PE
2220
FACILITY_ID
FA0021028
FACILITY_NAME
A-CARE AUTO REPAIR
STREET_NUMBER
1102
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13526004
CURRENT_STATUS
01
SITE_LOCATION
1102 W FREMONT ST
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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Customer EPA# Date: <br /> Driver EPA#CAL 000427808 State Manifest Document # <br /> CHP #CA192005 <br /> .CRYSTAL BLUE <br /> ENVIRONMENTAL INVOICE NO. 840 <br /> 7337 Herlong Way Sacramento, CA 95660 <br /> PAY FROM THIS INVOICE <br /> (415) !996-3350 <br /> Transporters Registration No: 6104 Next P/U Date: <br /> CO. NAME PHONE ( ) <br /> ADDRESS <br /> CITY STATE ZIP <br /> QTY DESCRIPTION PRICE TOTAL <br /> Non-RCRA Hazardous Waste Liquid. Used oil/mixed oil. /per <br /> *No Placard required (221) gal <br /> Non-RCRA Hazardous Waste Liquid. Used anti-freeze. /per <br /> *No placard required (343) gal <br /> Non-RCRA Hazardous Waste Liquid. Oily water. /per <br /> *No placard required (223) gal <br /> TOTAL <br /> DESTINATION OF OIL ALTERNATIVES <br /> Ramos Environmental Li Asbury Environmental 7j <br /> 1616 S. River Road 14287 E. Manning Ave. <br /> West Sacramento, CA 95691 Parlier, CA 93648 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL. PLEASE SIGN AFTER READING. <br /> Crystal Blue Environmental hereby advises the generator that your shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste man- <br /> agement facilities. California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of-state facilities <br /> that process used oil also meet those requirements. These include more stringent leak detection and prevention requirements, engineering certifications of tank <br /> integrity, and financial assurances for closure and accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil <br /> management standards and not these more stringent requirements. This notification is for information purposes only. <br /> GENERATORS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, <br /> are classified, packed, marked, labeled, and are in all respects in proper condition for transport by highway according to applicable state and federal regulations. <br /> If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br /> to be economically practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the <br /> present and future threat to human health and the environment; OR, if I am a small quantity generator, I have made a good faith effort to minimize my waste <br /> generated and select the best waste management method that is available to me and that I can afford. I have not mixed any of the waste described above with <br /> any other hazardous waste, the total halide content is LESS than 1,000 ppm, and the waste does not contain any PCBs. I have complied with the requirements <br /> of the applicable California used oil management regulations to determine this is true. I agree to accept the additional charges for the disposal of this waste if the <br /> information I have provided about this waste is incorrect. I hereby certify that all the information submitted in this and all attached documents contains true and <br /> accurate description of the waste.All relevant information <br /> Generator's Signature: regarding known or suspected hazards associated with <br /> the waste has been disclosed. I also certify that I have not <br /> Contact Person: mixed this waste with any other waste. Venue for purposes <br /> of enforcement shall be in Sacramento County. I declare <br /> Transporter's Signature: under perjury that the foregoing is true and correct. <br /> Term net 10 days. Finance charge of 2% per month (24% per year) on accounts not paid within 30 days. <br /> A$25.00 Fee will be charged for returned checks. <br />
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