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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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T
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12 (STATE ROUTE 12)
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14900
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2200 - Hazardous Waste Program
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PR0545439
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/19/2024 3:46:01 PM
Creation date
6/11/2020 11:43:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0545439
PE
2220
FACILITY_ID
FA0009464
FACILITY_NAME
TOWER PARK RESORT/MARINA
STREET_NUMBER
14900
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242
APN
05503015
CURRENT_STATUS
01
SITE_LOCATION
14900 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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equipment decontamination and subsequent disposal.'Final invoicing <br />will be based on the actual services provided, which may include <br />additional charges for off specification waste and surcharges. Final <br />invoice amount may be more than the amount listed on the printed <br />receipt. If any legal action is commenced because of an alleged <br />dispute, breach, default or misrepresentation, the Customer also <br />agrees that the prevailing party will he entitled to recover <br />reasonable attorney's fees and costs associated with the <br />non -conforming contamination event. Safety-Kleen's failure to screen <br />Customer's material or take a retain sample, in no way constitutes a <br />waiver of Customer's obligation to properly classify its materials. <br />Safety-K1een relies on Customer's representations and Customer is <br />responsible for informing Safety-K1een of any process chaeges that may <br />Alter the characteristics of the materials provided. IN THE EVENT OF <br />AN ENERGENCY CALL *x24 -HR NUMBER** 1-800-468-176o (Safety-Kleen) <br />I have established a program to reduce the volume or quantity and <br />taYicity of the hazardous waste to the degree to be economically <br />practicable. <br />Signatura <br />CUSTOMER / GENERATOR: ack kartuem <br />Signature <br />TRANSPORTER: Raymond Gomez <br />CSG SK -SSL -BOX -23 Raymond Gomez 06/um 13:14 PA <br />SHIPPING DOCUMENT <br />REFERENCE NI <br />CUSTOMER#/GENERATOR: ST44949 Stockton Delta Resort, CLC 76970771-1802637! <br />14900 W Highway 12 <br />Lodi CA 95242-0000 <br />PHONE 209-283-1589 <br />GENERATOR USEPA ID. CAL000420023 GENERATOR STATE <br />HANIFEST#: ODOS20891sks FORM CD; ID SHIP* 22SS59186 <br />TRANSPORTER 1 TXRO00O81ZOS SAFETY-KLEEN SYSTEMS, INC. <br />50SO SALIDA BLVD <br />SALIOA,CA. 95368 <br />TRANSPORTER 2 7NSP PHONE: 209-545-1011 <br />US DOT DESCRIPTION CENCLUOING PROPER SHIPPING NAME. HAZARD CLASS, AND ID) <br />NON-RCRA HAZARDOUS WASTE, SOLID <br />WRAINEDANDRAINED USED OIL FILTERS) <br />FEDERAL WASTE CODES NONE <br />STATE WASTE COOES 223 <br />TDTAL CONT 1 TYPE UM Wt/VOL P SKOOT 7872676 <br />CNT#: 180524603646 SZ: 33 GAL/26S L CANTAINERS QTY; 200 PROr# 156033 <br />DESIGNATED FACILITY NANE/ADDRESS: <br />THERMO FLUIDS INC <br />12533 SE CARPENTER DR <br />CLACKAMAS OR 97015-8966 <br />TSD PHONE; $03-788-4616 <br />FACILITY USEPA IO NO ORQO00025197 <br />FACILITY STATE ID NO <br />GENERATOR STATUS <br />0-220 Tbs/month <br />Customer certifies that (i) the above-named materials are properly <br />classified, packaged, marked and labeled, and are in proper condition <br />for transportation according to the npplicahle regulations of the <br />Department of Transportation (ii) no material change has occurred <br />either in the characteristics of the waste/material or in the pracess <br />generating the waste/material, and (iii) the above referenced <br />Generator Status is correct. Customer agrees to pay the above charges <br />and to be bound by the terms and conditions (1) set forth in (a) the <br />General Terms and Conditions provided separately to Customer or (b) <br />any SK agreement signed by Customer and SK, and (2) incorporated <br />herein by reference. unless otherwise indicated in the payment <br />received section, SK is authorized to charge Customer's account for <br />this transaction, Xf Customer fails to make payment when due. an <br />amount equal to the lesser of (i) 1,5% per month (18% per annum) or <br />(ii) the maximum amount allowed by law, will be added to all unpaid <br />afoants outstanding. Customer certifies that the individual sionino <br />
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