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COMPLIANCE INFO_2019
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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PR0513577
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COMPLIANCE INFO_2019
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Last modified
11/20/2024 8:48:36 AM
Creation date
6/16/2020 3:48:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0513577
PE
2220
FACILITY_ID
FA0009002
FACILITY_NAME
PURVIANCE DRILLERS INC
STREET_NUMBER
17707
Direction
E
STREET_NAME
STATE ROUTE 26
City
LINDEN
Zip
95236
APN
09119020
CURRENT_STATUS
01
SITE_LOCATION
17707 E HWY 26
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Ramos Environmental Services <br /> 1515 South River Rd . <br /> West Sacramento , CA 95691 <br /> (916) 371 -5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER No <br /> BILL OF LADING <br /> DATE JOB NUMBER <br /> GENERATOR " ` - GENERATOR EPA # > ' <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> JOB SITE ADDRESS f' CASH RECEIVED (amt.) <br /> HALIDES RR M . <br /> JOB DESCRIPTION <br /> MATERIALS <br /> F- NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # START TIME <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br /> LEAVE JOB <br /> El U .S. DOT DESCRIPTION : STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS DRUMS <br /> MANIFEST NO. - N0. OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK # <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES, 1515 SOUTH RIVER RD, WEST SACRAMENTO 95691 CAD 044003556 <br /> 1 HEREBY CERTIFY THAT 1 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 place 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 cgllection 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 /> GENERATOR SIGNATURE <br /> 9A i1nl ir PIS (zmP r r gnnr°IP. P Theii7i* I � RRR � Z!. M774n <br />
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