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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1300
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2200 - Hazardous Waste Program
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PR0546741
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/25/2021 9:38:10 AM
Creation date
10/21/2021 2:20:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546741
PE
2215
FACILITY_ID
FA0010932
FACILITY_NAME
AutoZone #5682
STREET_NUMBER
1300
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
1300 W Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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1300 West Kettleman Lane PR0546741 <br /> October 18, 2021 Program: UOCC <br /> PHOTO 1: Consolidated manifest without a waste code. <br /> l l`LJ <br /> CSG SK-SSL-UMO-02 Miguel Onsurez 07/09/20 08:45 PAGE 2 <br /> IAII 9EIPlC <br /> SHIPPING DOCUMENT <br /> IN THE EVLNT OF AN EMERGENCY CALL—24-Hr-Numherti4 1-800-468-1760 REFERENCEeNBR. 1 LW 01 ALS <br /> CUSTOMERO/GENERATOR: AU31468 Autozone $ 5682 83724482 --- <br /> 1300 <br /> 1300 W Kettlenien Ln D*" <br /> Lodi CA 95242-4521 W <br /> PHONE 209-339-4459 <br /> GENERATOR USEPA 10. CAL000288559 GENERATOR STATE - <br /> MANIFEST#: 007314856SKS FORM CD: 1D SHIP*231900122 <br /> TRANSPORTER 1 TXR000081205 Safety Kleen <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95368 <br /> TNSP PHONE: 209-545-1011 <br /> TRANSPORTER 2 ty <br /> US OUT Ut5QtIF1ION (INCLUUING PROPER SHIPPING NAME, HALARO CLASS, ANO lU) -- <br /> I'.P <br /> NON-RCRA HAZARDOUS WASTE, LIQUID "---- <br /> (USED OIL) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES ^ $i licom <br /> TOTAL`CONp4 log+a..�va TYPE YT ..`nNv'oL SLIT 11_ i 1 ......... � <br /> T50 PHONE: 510-1951/OO <br /> FACILITY USEPA ID NO CAU980881e18 <br /> FACILITY STATE IO NO reduce the-IOme <br /> GENERATOR STATUS the hazaf dcus waste <br /> CESQG: Vehicle Iy practicable. labeled, <br /> applicable reyulat10M 01 <br /> cw red either In the <br /> ing the wastelmaterial, s <br /> SlUnature <br /> CUSTOMER /GENERATOR: jose ayala <br /> i 1 <br /> SlUnature <br /> Q ��V11 <br /> oTRANSPORTER: Miguel Onsurez <br /> ----------------- <br /> 1 <br /> .... <br /> Lydia Baker, SR. REHS Page 1 of 6 <br />
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