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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MICKE GROVE
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11793
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2200 - Hazardous Waste Program
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PR0514036
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COMPLIANCE INFO
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Entry Properties
Last modified
6/30/2020 5:52:10 PM
Creation date
6/23/2020 6:24:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0514036
PE
2220
FACILITY_ID
FA0000287
FACILITY_NAME
SJC MICKE GROVE PARK
STREET_NUMBER
11793
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
11793 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0514036_11793 N MICKE GROVE_.tif
Tags
EHD - Public
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os, Environmentat e . ,i e: <br /> 1515 South River Rd. _ <br /> West'Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE <br /> CAD044003556 <br /> SERVICE <br /> ORDER NO <br /> BILL OF LADING <br /> DATE a. JOB NUMBER <br /> GENERATOR YMCME GROVE '-R ,� GENERATOR EPA* CAL 000 2,48, 288 <br /> BILLING ADDRESS , -. <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT' CHECK NUMBER <br /> PHONE (209)331-2048 P.O. NUMBER <br /> JOB.SITE ADDRESS <br /> 11793e GR_G ROS CASH RECEIVED <br /> Q I s CALIF' 95240' HALIDES` P.P.M. <br /> JOB DESCRIPTION = <br /> 6 <br /> MATERIALS- 1, r <br /> COMBUSTIBLE LIQUID, WO-S.,-NA1993;,ffi-,(USED OIL) CODE#" ` <br /> ` ;.N. OW RCRA'HAZARDOUS WASTE. SOLID'.-,LIQUID.- -CODE# START TIME <br /> ❑,U.S: DOT DESCRIPTION: _ ND TIME <br /> F-]""(USED ANTI-FREEZE)NON`RCRAHAZARDOUS WASTE LIQUIDCODE## �Y � USED OIL FILTERS DRUMS, <br /> MANIFEST NO: " �'" " �° fY.NO.OF GALLONS <br /> DRIVER'S.SIGNATURE P f TRUCK# <br /> DESIGNATED,TSDF:RAMOS"ENVIRONMENTAL SERVICES., 1515 SOUTH ER RD WEST"SACRAMENTO 95691 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND THE TOTAL_HALIDES ARE LESS THAN 1.000 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 thee applicable regulations of the Department of Transportation. <br /> Generator's Certification:hcertify-that I have a program in placeto 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 Ram6e,,Standardizedspermitted,`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 produce.used oil"into <br /> recycled oil. <br /> Terns-n0,1 S days: <br /> After due.date,,ae finance:charge of 1.50%per month,1&00%.annual rate,will be"charged on the unpaid balance.The customer agrees to,pay"reasonable <br /> costs and attorney des incurred:n'the collection of this obligation.Venue for.purposes of enforcement of this obligation shall be Yolo County> <br /> declare,under penalty of perjury that the foregoing is;true and correct. <br /> 24 <br /> ;�> GENERATO($SIGNATURE <br /> Hour Emergency Response Team:: 1_ ILL <br />
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