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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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PORT ROAD 22
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2200 - Hazardous Waste Program
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PR0539246
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
9/25/2019 9:07:15 AM
Creation date
11/1/2018 4:48:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0539246
PE
2220
FACILITY_ID
FA0022433
FACILITY_NAME
CenCal Recycling, LLC
STREET_NUMBER
501
STREET_NAME
PORT ROAD 22
City
Stockton
Zip
95203
CURRENT_STATUS
01
SITE_LOCATION
501 PORT ROAD 22
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\P\PORT RD #22\501\PR0539246\COMPLIANCE INFO 2015 - 2016 .PDF
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EHD - Public
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DUNS NO.05.397-6MI FED ID NO.396090019 ELGIN OFFICE <br /> 2600 North Central Expressway,Suite 400 BOO-66&5740 ^��' SCHEDULEC SCHEDULEn <br /> Richardson.TX 75080 www.safety-kleen.COm � FOR SERVICE CALL BRANCH MANAGER DOC EXP. SErV CE WEEK T RwroRr <br /> a CUSTOMER ASNO = - <br /> CREDfr PREVIOUS BALANCEgKpVEpSpDAYS <br /> F cocE <br /> a L Z Z ' .1_ <br /> GCaSTOUER CHAIN 0 rEFl SVC Pic PP.OD.P!C <br /> 7zz- <br /> 0 LOCATION rTAX EXEMPTION NUMBER <br /> SERVICE DATE SALES REP NO. CUSTOMER P.O.NUMBER CUSTOMER PHONE# TAX CODE TE EOPT PROD ORDERED SERVICE TAX C.O. S.TAX PRODUCT TAX <br /> M. <br /> TOTAL CHLORINE TEST RESULTS SK DDT SERVICE ,`- PROMO RELEASE NO. <br /> SERVICE SURVEY SALES a s NO <br /> UNIT PRICE QUANTfTY CHARGE TAX CHARGE '`''` " '"LO^a TER NUMBER TERM <br /> PRODUCT NUMBER °�� �� f5'Fa R"1` <br /> 2 ❑ ❑ <br /> 3 — <br /> 4- <br /> 5. <br /> ❑ ❑ <br /> 6 L ❑ <br /> o ❑ <br /> 8 ❑ ❑ <br /> 9 NK TRANSPORTER❑ / s <br /> TOTAL-SERVICE/PRODUCTS <br /> CAPACITY J / 444 X < <br /> GENERATOR �,ST NO. USEPATRANSPORTER ID NU. TUBE I <br /> • • :• • PRINT NAME <br /> GENERATOR. VEHICLE OTHER 1 NO PR`OUAL REQUIRED.Nh0 HALOGEN TEST C./N/ J� 'r.,�.r DA O <br /> HAZARDOUS WASTE FLUIDS NON-VEHICLE G7 CJS Z <br /> CLASSIFICATION' ONLY FLUIDS 2 NO PREOUAL REQUIRED N,HALOGEN TEST AT PICK-UP <br /> 3 PREOUAL REQUIREp.NO HN-OGEN TEST GENERATDR USEPA ID N0. GENERATOR STATE ID NO. X a <br /> CESOG I ❑ K <br /> 3 n PREQUAL REQUIRED.HALOGEN TEST AT PICK �y <br /> SOGILOG ❑2 ❑4 REFER TO REVERSE SIDE FOR DEFINITIONS (,/7 Tfucl PRINT SIGNATURE <br /> NAME <br /> t2:ANTAINERS 1s T07rLL 1a�'T SK DOT NUMBEF <br /> 11,US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME,HAZARD CLASS.AND ID.) T o° ^N' W Z <br /> W <br /> E. W J <br /> N <br /> B. mo <br /> C W 2 <br /> Ole <br /> UV <br /> Q <br /> D. <br /> USA EPA ID NO. <br /> I M DI TE FACT ITV AMIND AD R <br /> STATE ID NO. <br /> CASH ❑ TOTAL RECEIVED APPLY PAYMENT TO CHARGE MY THE PAY FOO 71115 EDTRANSACTION UNLESS ERV1M_E TOTAL DUE _ �N <br /> INDICATED N THE PAYMENT RECEIVED SECTION 1— <br /> CHECKNUMBEP ❑TODArSSERVI.M ALE C"—crR« e[a <br /> ❑is EYIOU�64.0.HCE RS FOLLOW""' mo uCeM•l.W Mf nO•WroDiVOer'bf pn�eptrnn➢csv�te iir aonYOEb'•9aW dCrt �S�� ` -.. <br /> • �5 Cm1tT'tr:1r Ftct<C+a+aper<-.-rte Cie U 5 GaGYNMr at tRWY1rR}' 1 <br /> INVOICE AMOUNT s INVOICE# AMOUNTS ADDITIONAL TERMS AND CONDITIONS ON THE REVERSE SIDE OF TH J <br /> MANIFEST CODE SEQ b DOCUMENT ARE INCORPORATED HEREWITH MADE A PART EREOF. <br /> SOUS P°A/. �CAr�L �U��-Sl.�� 096 <br /> r ITa <br /> CNC <br /> REDIT CARD NQ AMEX —EXP.DATE_ v <br /> VISA IN THE EVENT OF AN <br /> X <br /> - — EMERGENCY CALLGFNEMT v1,PP�A OESGNA"EL`AEPRESENTATt:E S+G-.ATtrsiE <br /> CUSTDMER REFERENCE - <br /> INFORMATION <br />
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