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COMPLIANCE INFO_2020
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0545060
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
6/5/2020 5:42:05 PM
Creation date
6/5/2020 4:23:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0545060
PE
2220
FACILITY_ID
FA0025632
FACILITY_NAME
POWERGEN INC
STREET_NUMBER
300
Direction
W
STREET_NAME
LARCH
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
300 W LARCH RD # 4
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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c M- <br /> Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE ORDER SER <br /> NO.178947 <br /> BILL OF LADING <br /> DATE JOB NUMBER <br /> GENERATOR t ) GENERATOR EPA# �W 1/3-Ft <br /> BILLING ADDRESS <br /> e <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT , )Cx-N rte- CHECK NUMBER <br /> PHONE - 1917 <br /> P.O. NUMBER <br /> JOB SITE ADDRESS – ! CASH RECEIVED (amt,) <br /> c <br /> HALIDES < P.P.M. <br /> JOB DESCRIPTION C C— <br /> MATERIALS <br /> -PdQN RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # START TIME <br /> ARRIVE TIME <br /> El NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# Z a`U <br /> LEAVE JOB 2� ��_ <br /> ❑ U.S. DOT DESCRIPTION: STOP TIME 2 100 <br /> ❑ (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. <br /> NO. OF GALLONS <br /> DRIVER'S SIGNATURF TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. <br /> This is to certify that the above named articles are properly classified, described, packaged, marked and are in proper condition for <br /> transportation, according to the applicable regulations of the Department of Transportation. <br /> Generator's Certification: I certify that i have a program in{dace to reduce the volume and toxicity of waste generated to the degree I have determined <br /> to be economically practicable. Ramos agrees with the generator to send all their hazardous waste to an authorized hazardous waste treatment facility <br /> via Ramos' standardized permitted storage facility. <br /> All used oil collected from the generator listed above will be transported only to a facility permitted by the State of California to accept used oil. <br /> Terms- net 15 days. <br /> After due date,a finance charge of 1.50% per month, 18.00%annual rate,will be charged on the unpaid balance.The customer agrees to pay reasonable <br /> costs and attorney fees incurred in the collection of this obligation.Venue for purposes of enforcement of this obligation shall be Yolo County. <br /> I declare, under penalty of perjury that the foregoing is true and correct. <br />. X <br /> O IGNATURE <br /> 24 Hour Emergency Response Team: 1 -500-456-7745 <br />
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