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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0521789
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
5/9/2019 2:55:54 PM
Creation date
10/31/2018 10:11:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0521789
PE
2220
FACILITY_ID
FA0014721
FACILITY_NAME
GASOLINE ALLEY
STREET_NUMBER
820
Direction
S
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04931034
CURRENT_STATUS
02
SITE_LOCATION
820 S BECKMAN RD STE 3A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BECKMAN\820\PR0521789\COMPLIANCE INFO\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
8/9/2013 8:00:00 AM
QuestysRecordID
2035619
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Mar 12 09 08: 43a tom price 209-365-6781 p. 2 <br /> AMERICAN VALLEY — ` 1 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO:GAS(LINE ALLEY JOB SITE: GA-SC:L INc ALL <br /> J S. BECKMAN RD 071 S. BECKMr <br /> AN -"c.-. <br /> Te WARD <br /> P p-',C5-6747 TOM Customer P.O. Payr�� t r v EPAt AL!0032(57'5 f3 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON C <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY PREMIX ` <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASW EEP N/A <br /> r i <br /> w . <br /> I hereby certify that I have not mixed this waste with any other waste,that the total halides are less than 1000 P.P.M.;and that <br /> the waste does not contain any P.C.B.'s.I further agree to accept the additional charges for legal disposal a this waste is over TOTAL <br /> 1000 P.P.M.total halides,or contains any P.C.B.'s. , <br /> GENERATOR AUTHORIZED <br /> DRIVER i l SIGNATURE -- <br /> SIGNATURE I SIGNATURE % Z. <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGRE S TO PAY ALL LEGAL FEES IF <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> American Valley Waste Od hereby advises the above Generator the Generators shipment of used oil may be transported to a facility that is required to comply <br /> with federal regulations applicable to management of used os,but that is not required to comply with the more stringent requirements applicable to hazardous <br /> waste management facilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of- <br /> state facilities that process used oil also meet rose requirements, engineering certifications of tank integrity, and financial assurances for Closure and <br /> accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards and not these more <br /> stringent requirements. <br /> This notification is for information purposes only. <br /> y'N signed <br /> Date Generator signed <br /> BDate <br /> By signing the invoice the generator certiRes.that the generator has established a program to reduce the volume w quantity and toxicity of the hazardous <br /> waste to the degree,as determined by the generator,to be economically practicable. <br /> By both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for(certain waste streams)to the generator <br /> that their waste has been transported to a license treatment or transfer facility. <br /> DISPOSAL/ RECYCLING FACILITY <br /> 0 RIVERBANK OIL TRANSFER /RAMOS ENVIRONMENTAL SERVICES <br />
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