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COMPLIANCE INFO_2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0523576
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
7/3/2020 12:31:05 AM
Creation date
7/2/2020 4:35:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0523576
PE
2221
FACILITY_ID
FA0010282
FACILITY_NAME
SOUSAS CUSTOM HARVESTING
STREET_NUMBER
20178
Direction
E
STREET_NAME
GAWNE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18510003
CURRENT_STATUS
01
SITE_LOCATION
20178 E GAWNE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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/lflf�l <br /> Job Site : 2355 RD. 192. DELANO, CA 93215 <br /> GENERATOR Ph.: (209) 863-0888, FAX (661) 725-0654 <br /> Site EPA ID#�� ? ���; � !;l ID# 46-0727047 / CAL000367042 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> Contact Person <br /> Invoice No. M 4 <br /> Company Name L, 3 Bill To : ° <br /> Address Name <br /> City, State, Zip - Address <br /> Site Phone City, State, Zip <br /> Date Customer PO Interval Net 30/C.O.D./Cash/CheckFt <br /> vers Truck/Name } <br /> L <br /> , , <br /> PRODUCT Codee CA Manifest# Quantity Units { Price _ Amount <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) 221, Gal <br /> Non-RCRA Hazardous.Waste Liquid(Oil&Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 1 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Drum(s) <br /> ' ota CRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> :Drained Used OTFllter Drum(s) �: + Drums(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time&Washout HR. <br /> Hazardous Testing <br /> We pay Customer Pays <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms;Accounts due on the.10th of the month following <br /> month of purchase.Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1.5%per month,which is the Total' 7� <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> I hereby certify that I have not mixedthiswaste with any other waste that the total halides are less than 1000'-PPM,and that the waste doe's not contain <br /> any PCB's. I further agree to accept the additional charges for legal disposal If this,waste is over 1000 PPM,t tal halides,or contains any PCB's <br /> GENERATOR or �. <br /> AUTHORIZED: <br /> DRIVER SIGNATURE : yy <br /> TERMS : INVOICE OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> Kern Oil here by advises the above Generator that Generators shipment of used oil maybe transported to a facility that is required to comply with federal reg <br /> applicable to management of used oil.Butthat is not required to comply with the`•more stringent requirements applicable to hazardous waste management faciliti s , <br /> Kern Oil Filter Recycling.is authorized-to file a request for EPA#from DISC.California facilities that handle or process used oil are required to meet those more• <br /> stringent requirements,and some out-of-state facilities that process used oil&also meet those requirements,engineering certifications oftank integrity,and financial;° <br /> assurances for closure an accidental releases.It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards-a <br /> not those more stringent requirements By signing the invoice the generator certifies that the generator has.established a program to reduce the volume or qua'; <br /> and toxicity of the hazardous waste to the degree,as determined by generator.to be economically practicable.By both parties signing this invoice it will serveas= n. <br /> agreementthat Kern Oil will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a licenced treatmentor transfee <br /> facility. v <br /> 4e . <br /> El California Oil Transfer ❑ BTl` <br /> 5300 Claus Rd,Bldg 11 1620 E Brundage Ln ADDRESS <br /> Modesto,CA 95357 Bakersfield,CA 93307 CITY <br /> Ph:209-863-8181 CAL000282598 STATE,ZIP <br /> Fax:209-863-8171 PHONE <br /> EPA#CAL000190816 <br /> EPA ID t <br />
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