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COMPLIANCE INFO_2023
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0220079
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
4/12/2023 10:26:43 AM
Creation date
2/3/2023 4:50:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0220079
PE
2250
FACILITY_ID
FA0000187
FACILITY_NAME
JR SIMPLOT CO
STREET_NUMBER
16777
STREET_NAME
HOWLAND
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19818005
CURRENT_STATUS
01
SITE_LOCATION
16777 HOWLAND RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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AMERICAN VALLEY <br /> WASTE OIL, INC. 201235 <br /> P•O•Bok 340•Delhi,CA 95315 [nvolce Number: <br /> PH,1-800.732-4645•FAX 208-668-3880 <br /> ■ <br /> EPA#CAROp0272302 �-ao-a <br /> JR SIMPLul JOB SITE: a <br /> fop Rx-lx 91 Go JKSIMPLO1 Invoice Date: <br /> BOISE_In 43707 Iiki]fn 'Lyl"MuKu <br /> FMAJL INvOrCE$ IATHROP.L;A 95M. <br /> . Phone <br /> usWme" <br /> POerms_e EPA# <br /> IAp1tuGiDESCRIPTT <br /> WASTE MANIFEST ANTRY PRICE AMOUNT <br /> CODE <br /> r <br /> "ON•RCRA Waste Llquld Used 01IIMixed 011s <br /> 221 <br /> IVON`RCAA Waste Liquid Used Antifreeze r <br /> 133 <br /> gg NON-RCRA Waste Liquid Used oil Water <br /> Y 223 <br /> Y44 Compfiant Drained Used Metal ClI Filters <br /> OIL COLLECTION FEE I r t <br /> TERMS: Involves over 31)Days are suNect to a 1.5%service charge,.Customer agrees to pay all legal fees it c utr aclton TOTAL f 2 <br /> Wcumag necessary to cdlrael thin invoice. ll l <br /> LOU <br /> By sign"r rrarby certily thst l have not mesad any of lha wa$10 dektbed above-M any nlher hexardoue waat1.the told holldn content is LES$than 1,poe ppm,pod the, <br /> waste does not contain any PCBs I rrar0 compiled wish Iha rtiqulne rkts of the appllr ble California used oil m '-40mont lc gulapan m determine Ihls;Irya.l8g to <br /> accent Tho additional chergim for Iha disposal of thLs wasle if the information I t wp provlded about Irma waste Is Incorrect <br /> Goneracur's Cenrflcalra t:By"rung I CMIPy Mail if i am a large quwlrty genaralor.I canify IMI I hate a progrem In piece to raduoa LI'M VMhune and toxicAy of waste 9enerm- <br /> ed to Ma dogree I nave delerminad to be economically allordabre and that I have selmlod the pracllcabla method of treatment,atoraye,or d4p"c nity a—sable to me <br /> `-. which mtnimizas the present and hrfure threatto humen life and the envlrgnmenl:Or.III am a small quantity gennralan,1 have madu a Good lash exon to Onimize my waste <br /> gorleralion and select OR waste management method that in avatleble,10 ma Ihat I can alford- <br /> Ametrrcan Valley Waste Oft hereby advises the above Gencralof that genoralors shipment of used al may bo lransported to a faGlhy that is requatl to comply wdhfederal <br /> - regulations appricabre to managemeni Mused Olr,but that la not mqulW 10 comply with the more sirin9ant requirampnls applicable to hazardous w•asle managernam lada- <br /> tic,,.Galifornra fackies that handle or process used oil are requaad to meet!hose more a[dngant req>liiemcril,and some out-of-5121e faalil+os inui prucuss used oil also meet <br /> -- - those requirem6nfs,engineering c aifca[—of lank mlegri[y,and fir w al assurarw.s for dusure and a",oentpr rawasea.II is fawlul to send rLsed oil to out at stab facirrties <br /> that compry,only with federal used dii managemem standards and rib!Inose more stringent requirements. <br /> '+ Tlmis nohflewinn iv for informalicn purposes only. <br /> By both Wins 5igniog Thin Invoice it will serve ae an agroornent that American Va1I0y Waste 991 will submit conitnnatlon for{certain wa5ta SIMvriis)to the generator char than <br /> waste has Etartanspoded to a Ii od tr atmonr x vwzfer facility. <br /> DRIVER 1'yV1L C] ^} AUTHORIZEDl�/I/� �yy <br /> SIGNATURE: GATE:+-d`C''�� SIGNATURE: !' � OATC9'Y>L'' <br /> AL 1 RECYJLJNGA ILITY <br /> Q DK-DIXON ASIB URY ENVIRONMENTAL 0 RIVERBANK OIL TRANSFER C)YUMA YES LLC Q AMERICAN VALLEY <br /> 7300 CHEVRON WAY 1920 MOR5AN R9. 5300 CLAUS R17. 650D Us HWY 95 WASTE OIL,INC. <br /> DIXON,CA 95620 CERES,CA 95358 RIVERBANK, CA 86367 YUMA,AZ 85365 9767 4TH ST.#B <br /> 707-693-6008 209-541.1825 209.8&3.8481 926.344-9828 UELHI,CA 95315 <br /> EPA#CAT080O12602 EPA#CAL000393680 EPA#CAL000190816 EPA#AZR000521146 209-667-B857 <br /> ` EPA#CAL000469136 <br /> i <br />
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