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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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26DO North Cent c;d Expressway,Suite 200 . 800-M-6740 DUNS NO:05-397-665T FED D NO_assosoots �aa�,�evaoca e <br /> Richardson TX 75080' www.satety-kleen.com FOR SERVICE CALL BRANCH IiAANAGER DOC.EXP. : SCR- �VLED scHEDu€» <br /> CUSTOMER NO. - - - - SFJiY10E WEEK : TE <br /> RR3FORY <br /> 9 <br /> PREVIOUS BALANCE <br /> CODE BDL,OVER 80 DAYS <br /> : r ¢ SEGMEW CMAIN ourrN SVC.PIC PROD P!C <br /> , r t` FLki fie" <br /> qg � % LOCATION 'TAX EXEMPTION NUMBER <br /> SERVICE AAT SALES REP N0, - CUSTOMER P.O:IVLIMBER Cl[STQMER PHONE',#. TfUC:CODE : ". DATE_EQPT/PROD ORDERED SERVICE TAX C O hA.S.TAX PRODUCT TAX. <br /> '. CHANGE <br /> SERVICE/ SURVEY ,. SALES TOTAL SK DOT SERVICE` E CHANGE <br /> PROMO <br /> CHLO�i(PIE TEST RESULTS'°: <br /> DEpT V UNIT PRICE QUANTITY CHARGE �'.1-41T 11 crILOROTEcr OC' S MMTERFA I RELEASE NO. <br /> PRODUCT NUMBER : TAX CHARGE a Fa: nesuGC s NUMBER T£RIA: (WEEK(S)(INITIAC} Igv we NO: <br /> Ee <br /> 2 ❑ �, <br /> 3 ❑ ,❑,' <br /> 4 — ❑ ❑? <br /> 5 ❑ ❑. <br /> ❑_'. <br /> 7 ❑ ❑' <br /> 8 11 El <br /> s ❑ ❑ € <br /> DATE F ` <br /> TOTAL-SERVICE/PRODUCTSpAPAC[Ty �. <br /> • .. • . . . :. . HiahIIFEST'Ni ISI TAANSPQ�tTTWF#1D- i4 _, X _ <br /> 13EKJERATOR: `VEHICLE :OTHER` 1 NDPREQUALREQUIRED NOHALOGENTTESi PRINT NAME. SIGNATURE. <br /> HAZA}iDDUS WAST <br /> FLUIDS NON VEHICLEw e��d�;o ] " DATE 1. <br /> / <br /> 7NOPREOVALAEQ.UIRED HALQO)=NTESTATPICK-UP;. 7 <br /> cLAsslFicaTlnN•. oritY • <br /> FiVIDS: 3 PREQUAL RIiQUIRED,NO HALOGEN TEST C7IEt`RTAA IISEPA IQ t .I GEIERATQR,SFAT3E�D HO <br /> L'rESQr.7 - ❑ 1 EI-3z. h.PREQUAL REQUIRED.HALOGEN TEST;AT PICK-UP X <br /> . ;.caQ{a�LOG ❑2 ❑4 •REFER To REVERSE_SIDE-FOR DEFlNrT otIS '- "'• :. .. . <br /> I PRINTNAME . SIGNATURE <br /> .. 12 NFAS 13': `-'TOTAL UNIT <br /> 11,US DOT DESCAPTIOIV (fNCLUDING PROPER SHIPPING NAME,HA7�IRD CLASS,,AN ID.) N00: "I pE sKnoriaumeEa <br /> } W <br /> 1 wrNOL <br /> A <br /> F 'E m � t. �u€1-'1 4 "1 <br /> W <br /> 4 . <br /> li' IfY <br /> ul <br /> f TER E .}ATE FACILITY NAME AND ADDRESS USA;EPA ID:NO j .-;' <br /> STATE,ID NO. <br /> �� - CASH TOTALRECEIVEQ:' APPLY PAYMENT TO: CHARGE MY ACCOUNT FCR:THIS TRANSACTION UNLESS OTHERWIS k TOTAL.DUE O <br /> CHECK NUMBER " INDICATED IN THE'PAYMENT DECEIVED.SECTION. . �. <br /> iooars sEs nci <br /> PLL F LLOWS' tl Imo.,q Mnd lhathhe d tlan 1 r aanspMI.PM eWx cla a�diP a q.db d P �he ee DO NOT NIRITE IN THE AFTER LOU%' <br /> - - - ❑.PREVIOUS SAIANCEAS FO - P QM <br /> Ll <br /> � U S.`ErnhGmnenlal Proiedlon'A6aacY and lhaU.9.Gapanma,rt Di rm+ Pvrtallm. <br /> INVOICE# AMOUNT$ I INVOICE#. AMOUNTS ADDITdDNA! TERtdS AND CONDITIONS Ok THE REVERSE SIDE OF TH15 <br /> DOCUMENT;AREINCORPO.SATEDHEREWITN'MA�E,APARTHEREOF <br /> PRsvlOU5. �} MANIFEST CODE SEn# i <br /> CREQlT • i — I N 1�h i v " ; <br /> CARD <br /> NO <br /> BFBff_CAi3Q3fkI rte' <br /> I TTS I I I - r— <br /> VISA � <br /> MCI'i <br /> GENERATOW} WPER DESIGNATED REPRESEWATIVE SIGNATURE <br /> CUSTOMER REFERENCE ,.. 1. . <br /> i <br /> tntCfiRM1ilA7[nN <br /> I I I :I fi*P AFVEi�SP: tnE E(7R IfUtI�nR fit 1T i�#1 ORMATIot = <br />
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