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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACK TONE
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2200 - Hazardous Waste Program
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PR0522596
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
1/26/2023 1:39:57 PM
Creation date
1/26/2023 1:39:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0522596
PE
2221
FACILITY_ID
FA0013593
FACILITY_NAME
MORADA PRODUCE
STREET_NUMBER
500
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10504015
CURRENT_STATUS
01
SITE_LOCATION
500 N JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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I have established a program to reduce the volume or quantity and <br /> rnnste to ' <br /> CSG SK-SSL-UNO-01 loseph R Lima lr 04/29/19 11:54 PAGE 1 <br /> Safety--Kleen Systems , <br /> Inc. <br /> L.Sr Sh S-,t tip`, ttiy:;tw03:49 PAGE 1 <br /> rd Luce., Ot•,tt%i9 <br /> 2600 N Central Expy. Suite 200 <br /> Richardson, TX 75080 Sa to t —K1 een Systems , Inc. <br /> CORPORATE: 800-669-5740 Y <br /> 24 HR DIERGENCY: 800-468-1760 (Safe t) !600 N Central E%py. Suite 200 <br /> 2095451011 Iticlrardsun. TX 7tposo <br /> REFERENCE NBR. (011PORAIT: $00 669 S 40 <br /> CUSTOMER# M032001 Florada rarms 79926248 !4 HII t t•II RCI NCY 300-46S 1.760 (S.,I r i 1 lil ren) <br /> 5OO N lack Tone Rd SRVC WEEK: 2019-18 Z0954SLOIJ <br /> Stockton CA 95215-9725 SRVC DATE: 04/29/19 IILI*FRENLL NUIt. <br /> PHONE 209-SS6-SOOO n' rDtURrr rt032001 k1orada Far-111% $0241750 1907938616 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: ';OU W lac! Tone Rd I&IC MEEK: 2012/19 <br /> ST37094 Stockton Petroleum Stocltou CA 9S215-9775 SKL'C DATE: OG/12/19 <br /> 1905 Navy Or j 11110N1 209-SS6 5000 <br /> Stockton CA 95206-1141 j lit lu t t)�IOFIF Ha )i)i t 10 •'DDRFSS: <br /> PHONE 407-428-3073 ( l,•!'j) c.t u„ )'c i rvleu+n <br /> PURCHASE ORDER# lori TAX EXEI<IPTd ! <br /> PRODUCT/SERVICES '``'" a6 M . <br /> SERVICE/ 'TOTAL ,.In)c N,ttir +Itt�t itK 7,1K E`uar'rA <br /> PRODUCT QTY UNIT PRICE TAX CHARGE PROW( 4 + i( <br /> 10256 FEE. OIL SERVICE/STOP NON 1.000 0.0000 0.00 0.00 'S ` 1. it)!A! <br /> SERVICE TERM 24 WEEK ,I Ili.,It 1 <br /> 66636 USED OIL RECYCLE AUTMOTI 135.000 0.0000 0.00 0.00 HttuRuc I u'+ I' 11c t c t t 11�fa.t <br /> SERVICE 't m 24 WEEK t OUQ )0'• '+: Q ')1.' 1415.0u <br /> HALOGEN cIOR-D-TECT TEST RESULT PASS: PPM < 1000 ,►It. <br /> 'TOTAL SLIcv10E/PRODUCTS --------------0.0000"----"0.00------0.00 iiKi tri. <br /> C)MI 1.t ,,r, ', ;0 <br /> TOTAL CHARGE 0.00 ..•1.n, Gltr)31 1, Oi)Ott p lu <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 0.00 <br /> -- — I„',,. <br /> UNPAID BALANCE THIS RECEIPT 0.00 <br /> .,:•i t ., <br /> t1Nc'.11 t r:.tir.Uv4t Titl'� ttla t 11'1. <br /> I <br /> If high risk source, rep. certifies that load specific PCB &Silicon <br /> testing have been completed prior to pumping this load. <br /> i <br /> i <br /> GENERATOR STATUS <br /> CESQG: Vehicle (aFNEHAFOR SIAIUS <br /> Customer certifies that (i) the above-named materials are properly <br /> Q-220 Ihs/urorsth <br /> classified, packaged, marked and labeled, and are in proper condition Customer cerrifies that 0) the abm are properly <br /> :or transportation . .i ding to the applicable regulations of the k ._�r__., »,..r......+ ...,.1....I :..,.I Litt, ,•. u►•oper• ronditioa <br />
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