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Environmental Health - Public
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EHD Program Facility Records by Street Name
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TILLIE LEWIS
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1433
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2200 - Hazardous Waste Program
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PR0514208
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Entry Properties
Last modified
4/2/2025 4:45:15 PM
Creation date
1/14/2019 8:39:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0514208
PE
2220
FACILITY_ID
FA0010163
FACILITY_NAME
JAGUAR HEAVEN AUTO DISMANTLERS
STREET_NUMBER
1433
STREET_NAME
TILLIE LEWIS
STREET_TYPE
DR
City
STOCKTON
Zip
95206-1120
APN
16335002
CURRENT_STATUS
01
SITE_LOCATION
1433 TILLIE LEWIS DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0514208_1433 TILLIE LEWIS_.tif
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EHD - Public
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1433 Tillie Lewis Dr, Stockton Record ID PR0514208 <br /> 1/8/2019 <br /> Photo 12: Uniform manifest 016645384JJK was not found on site during the inspection. <br /> LAND DISPOSAL RESTRICTION NOTIFICATION <br /> nr,rt�.,r rf -Maw <br /> 4, —'d x GlnLaw.#*.N Appray.e x t Ina r s <br /> 9bt 17b2 2767 <br /> J 3180 EAST PICO BLVD. 9b2 2 tb:i 27b8 - <br /> t OS ANGELES,CA 90023 flb3 2764 2769 t <br /> 9SDU I CC' PHONE 800A99.7145 9b4 2765 27610 <br /> (OVefy FAX 323.790.0078 - <br /> 2761 2768 <br /> This <br /> laRestrictions Shall <br /> be CFR 288 Completed <br /> y he generator and shall accompany each shipment of restricted waste subject to <br /> theLand <br /> ).-Complete all Information In Section I. <br /> d s,Check mark all appropriate Regulated Constituents In Section ll,additional applicable Sections and/or complete Section III. <br /> N t >Sign and date Section IV. <br /> SECTION 1 <br /> GENERATOR'S NAMEJaguar Heaven Auto 'JXc. q� � <br /> LPA I.D.NuateER CAL000056910 <br /> ' MANIFEST NUMBER 016645384JJK <br /> TREATABILITY GROUP Check one I Wastewater X Non-Wastewater <br /> / ' <br /> -ff1 HAZARDOUS DEBRIS ( Yes X No �!.GGO% <br /> EPA HAZARDOUS WASTE CODE(S)- <br /> D001 D018 HWT$Manifest <br /> -List of Manifests <br /> 10:CAL000056910 <br /> Frame:2016010 JAG01 <br /> Report Tints <br /> - - ---- -- Total Calif.Manifests;5 <br /> all, .,..�.r.....,J.. -_ <br /> _ Manifest Generator Tr <br /> 014054045JJK CALWO056910 C <br /> X There are no underlying hazardous constituents of concern,or 014054415JJK CAL000056910 t <br /> There are underlying hazardous constituents of concern which do not meet the treatment standards of 40 CFR 268.48,Table 015855257JJK CAL000056910 <br /> UTS-Universal Treatment Standards(see Section 11). ¢usrrfegrJK CAL000056910 <br /> .nr,:sa5'lnei� <br /> I have used the following to make the above determination: CAL000056910 <br /> X Knowledge of the waste producing <br /> process,raw materials used and reaction products,or <br /> Results of analysis for the constituents in Table LITS. <br /> Waste analysis data attached? Yes No <br /> NON-RCRA WASTE - LIQUID SOLIDOTSC Hom <br /> Ellecif"1131196- (Chock al/that apply) [:]9bl F-19b2 �9b3 09b4 <br /> Pursuant to Section 25179,6 of the Health and Safety Code,NON-RCRA other(27bl-27b 10) <br /> aqueous and soled waste containing organics has be.an repealed trainland Disposal Restriction Notification requirements -O Its <br /> UNIVERSAL TREATMENT STANDARDS <br /> SECTION If 1 '`( (4, <br /> Me Underlying/Mzsrdoua Constituents tnust W identilied/or waste streams which carry the EPA Weare Codes F001- `/)l C, <br /> not treetsd by ROR";CM03T o1`POL YM),Dob"ide ti one 0006- FOGS,F039,DOO1(only DOO/ <br /> ( Y D04.i it treated In Non•CWA,Non-CWA equivalent or Non-SOWA Iscigh"), <br /> The wastes Identified art the Alorententioned fnanllest document number and bearing the EPA Hazardous Waste Number(s)identified in Section l are <br /> x+tl4sci ro Ms 1-sand Disposal Restrictions of 40 CFH 208 Subpart G.It's wastes do not meet the applicable treatment standards specified in 40 CFR 268 <br /> Subpart O of exceeds the epplicabls prohlbilln levels spaclfied in 40 CFR 268.32(California list wastes)or RCRA Section 3004(d).In compliance with <br /> tw"M41meMe of 40 CFR 2$8.7 and 268_p Biwa are Indicating bsktw the applicable consOhtenls of ronrern. <br /> rv.to,4 <br /> John Alaniz, REHS Page 12 of 14 <br />
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