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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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PR0517917
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/22/2021 10:01:25 AM
Creation date
8/31/2021 8:25:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0517917
PE
2220
FACILITY_ID
FA0010022
FACILITY_NAME
GULS AUTOMOTIVE REPAIR
STREET_NUMBER
124
Direction
E
STREET_NAME
WALNUT
STREET_TYPE
St
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
124 E Walnut St
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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r. RECEIVED <br /> Ramos Oil Rec clers MUU 5 1 2021 Bill of Lading <br /> 1515 South River Road <br /> West Sacramento, CA 95691 ENVIRONME ML HEALTH 204001649 <br /> OEPAP • <br /> Phone: (916) 371-5747 Fax: (916) 371 -9312 a cen SFLOYD <br /> Cust PO # Terr/Mao # Assigned Sales Cat. Cust. Code <br /> SAC HAZ GULSAU EPA ID# CAL000425084 <br /> Customer : GUL'S AUTOMOTIVE Start Date: <br /> 124 E WALNUT ST. End Date: <br /> LODI CA 95240w <br /> Contact BILAL <br /> Job Phone: 209 3724799 <br /> Bill To : GULSAU <br /> Job Location : 124 E WALNUT ST. Bill e : Bill of Lading <br /> LODI CA 95240- Estimated Hours : 00 <br /> P.O. # <br /> Sched For: 201029 0800A00 <br /> S/C Type* UO <br /> Description : <br /> PO 165G UO COLLECT $95 AND $5 MANIFEST FEE . ✓Ci/ G' Se 01 <br /> PU 1 * 55 UOF T/R( 1 ). COLLECT $55 �� a� <br /> / C�S� �i^�'-`=yam �':J <br /> la' s <br /> Materials : <br /> 17 /000 PPM 16W START TIME: <br /> HALIDES � / : <br /> _Non RCRA HAZARDOUS WASTE LIQUID, (USED OIL)CODE# ,� ARRIVE TIME <br /> Non RCRA HAZARDOIUS WASTE SOLID — LIQUID CODE# LEAVE JOB : <br /> STOP TIME : ` <br /> _(USED ANTIFREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE USED OIL FILTERS : <br /> NO* GALLONS <br /> MANIFEST NO. I <br /> DRIVER'S SIGNATURE TRUCK# 22-0 <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERV CES. 1515 S. RIVER Rd. WEST SACRAMENTO 95691 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND TOTAL HALIDES ARE LESS THAN 1000 P.P.M. <br /> This is to certify that the above named articles are properly classified, described, packaged, marked and are in proper condition for transportation, according <br /> to the applicable regulations of the Department of Transportation. <br /> Generator's Certification: I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be <br /> economically practicable. Ramos agrees with the generator to send all their hazardous waste to an authorized hazardous waste treatment facility via Ramos' <br /> standardized permitted storage facility. <br /> All used oil collected from the generator listed above will be transported only to a facility permitted by the State of California to accept used oil. <br /> Terms — net 15 days <br /> After due date, a finance charge of 1 .50% per month, 18.00% annual rate, will be charged on unpaid balances. The customer agrees to pay reasonable costs <br /> and attorney fees incurred in the collection of this obligation. Venue for purposes of enforcement of this obligation shall be Yolo County. <br /> I declare, under penalty of perjury that the tore oing is true and correct. <br /> Generator Signature: <br /> PAID BY : CASH / CHECK# 2 11 © / Credit Card <br />
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