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SITE INFORMATION AND CORRESPONDENCE FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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103
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3500 - Local Oversight Program
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PR0544638
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SITE INFORMATION AND CORRESPONDENCE FILE 2
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Last modified
8/16/2019 11:14:41 PM
Creation date
7/9/2019 1:34:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0544638
PE
3528
FACILITY_ID
FA0004027
FACILITY_NAME
HENDRIX FORK LIFT INC
STREET_NUMBER
103
Direction
N
STREET_NAME
E
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318001
CURRENT_STATUS
02
SITE_LOCATION
103 N E ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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- <br /> �. <br /> Awe <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET 0 COMPTON, CALIFORNIA 90222 0 (310) 886-3400 <br /> EPA NO.CAD028277036 <br /> SERVICE ORDER <br /> NO.'. 096-112 <br /> DATE—u` CONTRACT CUSTOMER Cl -YES or 0NCr- <br /> CUSTOMER s� C /� �.y�., 7�v�rf f ,• SERVICE CHARGE yUYErS <br /> or O VO <br /> BILLING ADDRESS I'S(0 <br /> AMOUNT(If arty) ' <br /> PHONE CHECK NUMBER <br /> CUSTOMER EPA M P.O.NUMBER <br /> ,JOB SITE ADDRESS f�� �� f S' . C�'a� s�r ..e K�. f :), CASH RECEIVED <br /> COMMODITY <br /> NOTES HALIDES / . f- P.P.M. <br /> - 41 . / f F <br /> ❑ U.S.DOT DESCRIPTION:WASTE OIL,COMBUSTIBLE LIQUID NA 1993 <br /> ❑ U.S.DOT DESCRIPTION:HAZARDOUS WASTE LIQUID,N.O.S.NA 3082 <br /> NEXT SERVICE DATE <br /> EI"U.S.DOT DESCRIPTION: � ��' - 1�/ �' {� DRUMS <br /> MANIFEST NONO.OF GALLONS "yy< <br /> DRIVERr` TRUCK NO.&RT r`' -✓ <br /> DESIGNATED TSDF:DeMenno/Kerdoon,2000 N.Alameda Street,Compton,CA 90222.CAT080013352 ed. <br /> This Is to certify that the above named artldes are properly dasslfied,described,padcag <br /> marked and labeled;and are In proper condition for transportation,according to the applicable <br /> regulations of the Department of Transportation. <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED <br /> THIS WASTE WITH ANY OTHER WASTE,AND THEY r <br /> TOTAL HALIDES ARE LESS THAN 1000 P.P.M. �/ <br /> I FURTHER AGREE TO ACCEPT THE ADDITIONAL Xf <br /> CHARGES FOR LEGAL DISPOSAL IF THIS WASTE <br /> CUSTOMER SIGNATURE <br /> IS OVER 1000 Py".TOTAL HALIDES <br />
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