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COMPLIANCE INFO_2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0522601
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COMPLIANCE INFO_2019
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Last modified
7/1/2020 8:27:33 PM
Creation date
7/1/2020 3:57:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0522601
PE
2220
FACILITY_ID
FA0012421
FACILITY_NAME
SCIENTIFIC SPECIALTIES INC
STREET_NUMBER
1310
STREET_NAME
THURMAN
City
LODI
Zip
95240
APN
04931014
CURRENT_STATUS
01
SITE_LOCATION
1310 THURMAN
P_LOCATION
02
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 /> CADO44O03556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 168562 <br /> BILL OF LADING <br /> DATE II f JOB NUMBER <br /> GENERATOR f J c r ` n0J_ ��y�CENERATOR EPA# <br /> BILLING ADDRESS vvV <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT kCHECK NUMBER <br /> PHONE C� P.O. NUMBER <br /> Z <br /> JOB SITE ADDRESS \ L CASH RECEIVED (amt.) <br /> HALIDES v'r� :� r } P.P.M. <br /> JOB DESCRIPTION ^a✓L1[ <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# ���7, START TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE# ARRIVE TIME r 7,>•t� <br /> LEAVE JOB s <br /> ❑ U.S. DOT DESCRIPTION: <br /> STOP TIME 9 <br /> ❑ (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS _ � DRUMS <br /> MANIFEST NO. r! -.< ; NO.OF GALLONS ��- <br /> n ./ <br /> DRIVER'S SIGNATURE 7' L:0,,� - s TRUCK# C} <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER 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 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. Y <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 collection 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 �%�' -t= <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745 JL, <br />
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