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COMPLIANCE INFO_2020
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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PR0513673
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
5/20/2020 9:20:30 AM
Creation date
5/14/2020 12:04:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0513673
PE
2220
FACILITY_ID
FA0009152
FACILITY_NAME
ASSOCIATED TRACTOR SVC INC
STREET_NUMBER
1323
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206-1120
APN
16323005
CURRENT_STATUS
01
SITE_LOCATION
1323 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Profile eW REPUBLICSpeci I Waste <br /> SERVICES <br /> VI. Certification <br /> I hereby certify that to the best of my knowledge and belief, the information contained herein is a true, complete and accurate <br /> description of the waste material being offered for disposal and all known or suspected hazards have been disclosed.All Analytical <br /> Results/Material Safety Data Sheets submitted are truthful and complete and are representative of the waste. <br /> I further certify that by utilizing this profile, neither myself nor any other employee of the company will deliver for disposal or attempt <br /> to deliver for disposal any waste which is classified as toxic waste,hazardous waste or infectious waste, or any other waste material <br /> this facility is prohibited from accepting by law. I shall immediatelygive written notice of any change or condition pertaining to the <br /> waste not provided herein. Our company hereby agrees to fully indemnify this disposal facility against any damages resulting from this <br /> certification being inaccurate or untrue. <br /> I understand that attaching an electronic signature, I am signing this document, consent to complete this transaction and receive all <br /> related communication electronically, and agree this document will be binding as though I had physically signed it. A printout of this <br /> document may be accepted with the same authority as the original. <br /> If electronic signature is preferred,please submit completed(unsigned)form to your Special Waste Coordinator or Special Waste Sales <br /> Executive to initiate signature process. <br /> I further certify that the company has not altered the form or content of this profile sheet as provided by Republic Services. <br /> Lawrence Borelli IT System Administrator Associated Tractor Service Inc. <br /> Authorized Representative Name Title Company Name <br /> (Printed) (Printed) <br /> 03/11/2020 <br /> Representative Signature Date <br /> Page Associated Tractor Service Inc. Contaminated Soil April 2019 <br />
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