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Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0515632
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COMPLIANCE INFO
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Last modified
7/16/2019 8:31:31 PM
Creation date
7/16/2019 4:28:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0515632
PE
2227
FACILITY_ID
FA0011279
FACILITY_NAME
CUSTOM METAL FINISHING
STREET_NUMBER
1550
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
14326009
CURRENT_STATUS
02
SITE_LOCATION
1550 SHAW RD C
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Page 2 <br /> Generator's Waste Profile 538786-00 �— <br /> Starts: 11 MAY 2012 _ i Status: PENDING <br /> Expires: 31 MAY 2013 Sales Rep 239 Stacey Elfrink <br /> Printed: 06 JUN 2012 Acct Mngr 973 Terry McGuinness <br /> GENERATOR CERTIFICATION <br /> I hereby certify,as an authorized representative of the Generator named above,that General Environmental,LLC dba PSC Environmental Services has <br /> been fully informed of all information known about this waste,including but not limited to,the waste's generation process,composition,and physical <br /> characteristics,necessary to identify proper treatment and disposal of waste and this information is true and accurate.l£this is an existing profile which is <br /> being renewed,I hereby certify that there have been no changes in this waste,chemical,physical,or regulatory designation since full characterization by <br /> sample testing. , <br /> 7LJZ- <br /> Signature Printed Name Title Date <br /> In accordance with 40 CFR 264.12(b),General Environmental Management of Rancho Cordova,LLC has the appropriate permits for,and will accept the <br /> waste the generator is shipping as described in this profile. <br />
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