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COMPLIANCE INFO_2010
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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PR0514166
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COMPLIANCE INFO_2010
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Last modified
6/23/2020 3:32:03 PM
Creation date
6/23/2020 1:36:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010
RECORD_ID
PR0514166
PE
2220
FACILITY_ID
FA0010096
FACILITY_NAME
BROOKSIDE GOLF & COUNTRY CLUB
STREET_NUMBER
3131
STREET_NAME
BROOKSIDE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
11811036
CURRENT_STATUS
01
SITE_LOCATION
3131 BROOKSIDE RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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Bib Sky Environmental EPA # CAL 000346010 <br /> Solutions Bill of Lading <br /> Waste Oil/Antifreeze Recycling <br /> P.O. Box 481 Filter Recycling• Tire Disposal INVOICE N O <br /> Benicia, CA 94510 23212 <br /> (800)479-7993 <br /> Date/10—/ <br /> Billing Information Job Site <br /> Name e PO# Ca ck <br /> dV(-scat Na�� <br /> Address Address <br /> Customer EPA# <br /> Ao � c�� .r p �� C)C)') Lor /j� <br /> City State Zip7 City q <br /> State I <br /> CA j -_� CO- � <br /> Phone# Phone# <br /> Product/Proper Shipping Waste Manifest Number Quantity Units Price Amount <br /> Description Code <br /> Used Oil, Non RCRA Hazardous 221 <br /> Waste, Liquid <br /> Used Automotive Antifreeze, 134 <br /> Non RCRA Hazardous Waste, <br /> Liquid <br /> Oily Water, Non RCRA 223 <br /> Hazardous Waste, Liquid <br /> Oily Solids, Non RCRA 352 <br /> Hazardous Waste, Solid 01344 Z(fGg ,'E Cb kJ�" 2eo <br /> Drained Used Oil & Gasoline <br /> Filters <br /> UN 1993, Waste Flammable Mandato <br /> Liquids, N.O.S.,3,PG111 Fe er 1 u-� <br /> EPA Man fest ee <br /> �p/Pickup Pof Size 5/15/3 <br /> Poly Oce <br /> Total <br /> Clearwater Environmental MGMT Ramos Environmental Big Sky Enterprises Bayside Oil 11,Inc. <br /> 2430 Almond Drive,Silver Springs,NV 89429 1515 S River Road,West Sacramento,CA 95691 401 W Channel Road,Benicia,CA 94510 210 Encinal Street,Santa Cruz,CA 95060 <br /> 800-471-2105 916-371-5747 510-541-2128 831-427-3773 <br /> NVD982358483 CAD044003556 CAL000301639 CAD08838222 <br /> DK Dixon Crosby&Overton Clean Harbors of San Jose,LLC US Ecology Beatty NV <br /> 7300 Chevron Way,Dixon,CA 95620 1630 W 17th Street,Long Beach,CA 90813 1021 Berryessa Road Highway 95 11 Miles South of Beatty <br /> 707-693-6008562432-5445 San Jose,CA 95133 Beatty NV,89003 <br /> CAT080012602 CAD028409019 408-451-5000 800-239-3943 <br /> CAD 059494310 EPA 10#NVT 330 010 000 <br /> ZriverSignature Generator Signature _ � <br />
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