Laserfiche WebLink
2124122. 12 12 PM lltlos.llhftiwcollection.saccounly.netlreceipUdefoult.aspx?txid=151012 <br /> r l • + • • <br /> nC IknNTo <br /> C 0 U N T ,{ <br /> r, <br /> County of Sacranlento Ken Pereira - Supervisor <br /> Municipal Services Agency Phone:916-876-9458 <br /> Department of Waste Management& Recycling Main Office <br /> 9850 Goethe Road, Sacramento,CA 95827 Phone:916.875-6789 <br /> Household Hazardous Waste Program - Customer Receipt <br /> CESQG - Conditionally Exempt Small Quantity Generator <br /> Ticket Number: 151012 Kiefer(received by pipest) Date &Time: 2/24/2022 12:12 PM <br /> Disposer Information Material Unit Price Quantity Total <br /> GUY JOSEPH GRAENING Compact Fluorescent, Metal Halide, Sodium Vapor, Halogen, & LED Lamps $1.50/ea 1.00 $1.50 <br /> 872 FARMHOUSE WAY <br /> FOLSOM Fluorescent Tubes greater that Oft $1.80/ea 7.00 $12.60 <br /> 95630 Motor Oil $1.35/gal 8.00 $10.80 <br /> $0.00 <br /> Business Information Admin Fee $2290 <br /> Guy Graening <br /> EPA ID#!exempttalusm Total Cost: $47-80 <br /> 872 farmhouse way <br /> folsom <br /> ca <br /> 95630 <br /> 9168383572 <br /> Waste will be collected at: The below signature certifies that DWMR has received the above <br /> Kiefer Landfill listed materials from the Resident or CESQG listed above- <br /> 12701 Kiefer Blvd,Sloughhouse, CA 95683 <br /> North Area Recovery Station Signed: <br /> 4450 Roseville Rd, Sacramento, CA 95660 <br /> Date:2/24!2022 <br /> `State and federal hazardous waste laws limit the use of household hazardous waste collection programs to households and those <br /> businesses that generate less than 140 kilograms(about 27 gallons or 220 pounds) of hazardous waste per month and less than 1 <br /> kilogram of"extremely hazardous waste" per month. <br /> My signature below certifies that I represent the business listed in Part 1 above and further certifies that this business generates less <br /> than 100 kilograms of hazardous waste per month and less than 1 kilogram of"extremely hazardous waste" per month. Further my <br /> signature below certifies that the waste listed above and transferring to the CESQG Collection Program were generated within the <br /> district service area by tine business listed above and that I have transferred these wastes to the County of Sacramento PHHWCP for <br /> proper management and disposal. r <br /> Advi, <br /> Name: ckr Signed: ' ; Date: 2/24/2022 <br /> Note: Pricing shown above is subject to change based on the actual costs incurred by the County. Any pricing changes will be posted in <br /> public view at least 30 days prior to becoming effective, <br /> Nate:Current HHW Admin fee $ 29.85 as of July 1, 2015 (Adjusted annually pursuant to CPI provisions of Resolution No. 2009-0704) <br /> https'llhhwpplleclian.saConunty netlrecein�de{ault.aspx?txid=1514r 2 1 <br />