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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
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EHD - Public
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11/13/2008 14:49 2093312012 SJC PARKS PAGE 07/14 <br /> ,M— <br /> mos Environmental Ser*es <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO, -4. <br /> BILL OF LADING <br /> DATE - -7t <br /> GENERATOR J 0 Rec JOB NUMBER <br /> GENERATOR EPA# <br /> BILLING ADDRESS <br /> 4`GENERATOR CONTACT AMOUNT(IF ANY) <br /> CHECK NUMBER -A I <br /> PHONE <br /> "rove RO;txI P.O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> 9 52 <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> -MXTSMIIA6S,—'� -A `A <br /> COMBUSTIBLE LIQUID,N,O,S.,-NA1993,717,(USED OIL) CODE# -7 <br /> NON RCRA HAZARDOUS WASTE, SOLID-LIQUID CODE#k START TIME <br /> U.S.DOT DESCRIPTION! END TIME <br /> (usEr)ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE USED OIL FILTERS DRUMS <br /> MANIFEST NO, <br /> NO.OFGALLONS <br /> !•- <br /> ) <br /> RIVER'S SIGNATURE. ?RUCK iA <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO 95691 CAD o44003556 <br /> I HEREBY CERTFFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND THE TOTAL HAL1015SAHE LESS THAN 11000 RPM. <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 tie economically practicable, Ramos agrees with the generator to send all their hazardous waste to an authorized haiardous waste treatment facility <br /> 'Aa Rarnos'standardtzed permitted storage facility, <br /> All Ur.Gd 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 /> Terms-net 16 days. <br /> After flue date,g finance charge of 1,5o%per month,18.00%annual rate,will be charged on the unpaid balance.The customer agrees to pay reasonable <br /> cO,qt9 and 2ROMey fees incurred in the collection of thk obligation. Venue for purposes of enforcement Of this obligation shall be yolo County. <br /> —1 declare,under penalty of perjury that the foregoing IS true and correct, <br /> X <br /> nr:NW41R SF �N—ATU�Fl� , <br /> 24 Hour Emergency Response Tea r): 1-800-456-SPILL <br />
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