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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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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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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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SJGOV\dsedra
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EHD - Public
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CSG SK-SSL-UMO-01 Manriquez,Ubaldo R <br />Safety-Kleen Systems, Inc. <br />42 Longwater Drive <br />Norwell, MA 02061 <br />CORPORATE: 800-669-5740 <br />24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br />2095451011 <br />CUSTOMER# ST42948 Stockton Delta Resort, LLC <br />14900 W Highway 12 <br />Lodi <br />CA 95242-0000 <br />PHONE 209-283-1589 <br />BILL TO CUSTOMER# BILL TO ADDRESS: <br />ST42948 County of San Joaquin DPW/Solid Waste <br />1810 E Hazelton Ave <br />Stockton <br />CA 95205-6232 <br />PHONE 909-947-9363 <br />PURCHASE ORDER# <br />PRODUCT/SERVICES <br />SERVICE/PRODUCT QTY UNIT PRICE <br />10256 FEE, OIL SERVICE/STOP NON-PREQUAL CRANKC 1.0 120.00 <br />156017 / 66636 USED OIL RECYCLE AUTOMOTIVE OIL 10.0 0.35 <br />HALOGEN/ CLOR-D-TECT TEST: PASS:PPM < 1000 <br />TOTAL SERVICE/PRODUCTS -------------------------------------- <br />120.35 <br />07-07-2020 11:36 PAGE 1 <br />REFERENCE NBR. <br />83661620 - 2003407334 <br />SRVC WEEK: 2020-28 <br />SRVC DATE: 07-07-2020 <br />TAX EXEMPT# <br />TAX TOTAL CHARGE <br />0.00 120.00 <br />0.00 3.50 <br />0.00 <br />TOTAL CHARGE <br />CREDITS <br />------------- <br />TOTAL DUE <br />UNPAID BALANCE THIS RECEIPT <br />If high risk source, rep. certifies that load specific PCB & Silicon <br />testing have been completed prior to pumping this load. <br />GENERATOR STATUS <br />CESQG: Vehicle <br />123.50 <br />123.50 <br />0.00 <br />123.50 <br />123.50 <br />I have established a program to reduce the volume above-named materials are properly or quantity and toxicity of the <br />hazardous waste to the degree to be economically practicable. labeled, and are in proper condition for transportation <br />according to the applicable regulations of the Department of Transportation (ii) no material change has occurred either <br />in the characteristics of the waste/material or in the process generating the waste/material, and (iii) the above <br />referenced Generator Status is correct. Customer agrees to pay the above charges and to be bound by the terms and <br />conditions (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement <br />signed by Customer and SK, and (2) incorporated herein by reference. Unless otherwise indicated in the payment received <br />section, SK is authorized to charge Customers account for this transaction. If Customer fails to make payment when due, <br />an amount equal to the lesser of (i) 1.5% per month (18% per annum) or (ii) the maximum amount allowed by law, will be <br />added to all unpaid amounts outstanding. Customer certifies that the individual signing this Service Acknowledgement is <br />duly authorized to sign and bind Customer. Customer acknowledges that it is responsible for maintaining its Generator <br />Status and obtaining an EPA ID number if required by applicable law. The following provision is applicable to Safety- <br />Kleens parts cleaner and paint gun cleaner services: Customer agrees that it will not introduce any substance into the <br />solvent or aqueous cleaning solution, including without limitation any hazardous waste or hazardous waste constituent, <br />except to the extent such introduction is incidental to the normal use of the machine. Customer further agrees that it <br />will not clean parts/paint guns that have been contaminated with or otherwise introduce polychlorinated biphenyls (PCBs), <br />herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has <br />the capacity and is permitted to accept, store, and/or reclaim the spent parts washer solvent; paint thinners, solvents <br />and paints generated by customer; or dry cleaning filter cartridges, powder, and still residues containing <br />perchloroethylene, petroleum naphtha, or triflurotrichloroethane dry cleaning solvents. Customer agrees that it is <br />responsible for properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance with the provision <br />of 40 CFR 262.11 and applicable state laws. Customer agrees that it will not introduce any non -conforming substance into <br />the SK Property, including, without limitation, any hazardous waste or hazardous waste constituent,(i.e., polychlorinated <br />biphenyls ("PCBs"), herbicides, pesticides, dioxins, or listed hazardous wastes) except to the extent such introduction <br />is incidental to the normal use of the SK Property. In the event of the introduction of such non -conforming hazardous <br />waste, Customer agrees that it will be responsible for all costs and remediation expenses related to or arising from the <br />proper management and disposal of the non -conforming waste, including the cost of equipment decontamination and <br />subsequent disposal. Final invoicing will be based on the actual services provided, which may include additional charges <br />for off specification waste and surcharges. Final invoice amount may be more than the amount listed on the printed <br />receipt. If any legal action is commenced because of an alleged dispute, breach, default or misrepresentation, the <br />Customer also agrees that the prevailing party will be entitled to recover reasonable attorneys fees and costs associated <br />with the non -conforming contamination event. Safety-Kleens failure to screen Customers material or take a retain sample, <br />in no way constitutes a waiver of Customers obligation to properly classify its materials. Safety-Kleen relies on <br />Customers representations and Customer is responsible for informing Safety-Kleen of any process changes that may alter <br />the characteristics of the materials provided. IN THE EVENT OF AN EMERGENCY CALL **24 -HR NUMBER** 1-800-468-1760 (Safety- <br />Kleen) A variable recovery fee that fluctuates with the DOE national average diesel price may be applied to your invoice. <br />For more information regarding our recovery fee calculation please go to http://safety-kleen.com/ customer- <br />service/environmental-fees/recovery-fees. Please note e -manifest fees applicable to this order may not be included in the <br />total above and will be included in the final invoice or credit card statement. RECEIPT ONLY - THIS IS NOT AN INVOICE <br />Page 1 <br />
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