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COMPLIANCE INFO_2019
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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PR0538493
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
10/6/2020 12:32:09 PM
Creation date
7/22/2020 4:13:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0538493
PE
2226
FACILITY_ID
FA0015541
FACILITY_NAME
GOLDEN STATE LUMBER INC
STREET_NUMBER
3033
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
Way
City
Stockton
Zip
95206
APN
17702008
CURRENT_STATUS
01
SITE_LOCATION
3033 S Airport Way
QC Status
Approved
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EHD - Public
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Send Payment to: Invoice No. � �g <br /> Maximum Oil Service ►iePad": <br /> RVICE PO Box 383 Date ay 5247.50 <br /> w8e"pg2629 Loomis, CA 95650 Arrival ) �' <br /> ere Nam Bill to <br /> E <br /> N dress Address <br /> E � G�jt�\� / o r <br /> Cit p City State Zi <br /> R 1��1 C Stetg� Zi c�Sal a(,=, p <br /> TPh ne` l ` Fa �1 <br /> 0 Op" (11 q L Oa� Phone <br /> R Customer EPA# L -5 '(C)(� Contact <br /> N/ <br /> •C s VA o c.aJ VI i <br /> DESCRIPTION WASTE MANIFEST# QTY RATE AMOUNT <br /> CODE <br /> Non RCRA Hazardous Waste,Liquid CA 221 � �' '7 /` _ <br /> Used Oil a Industrial ❑1-ubricatin (,� t JJK 4 S V ,�� ^ <br /> NOiI Water)Hazardous Waste,Ligdid CA 223 <br /> JJK t <br /> Non RCRA Hazardous Waste,Liquid <br /> Used Antifreeze CA 133 JJK <br /> Transportation <br /> Clor-D-Tec-Test <br /> PLEASE PAY FROM THIS INVOICETERMS: NET 15 DAYS r <br /> A service charge of 1.5°.o per month` �-� -V ; t,--•d'? ,FATAL (1 <br /> shall be char ed on ast due accounts." tivC? / (_J <br /> __ _ <br /> Consolidated Manifest Source: D Collection Station 'Q Industrial PO# <br /> ❑Marine O Agricul <br /> TS mo Some facilities may ship oil out it state for processing and recy I��j�l`I�III�I�I fll l���lf l I <br /> ❑Ramos Environmental Sariyices 5300 Claus <br /> Oil Transfer Q BEST Environmental,L r` j ` I1 `I�I�����������i <br /> 1515 So River Road 5300 Claus Rogd. 2430 Alma�d Dr. r[ ` t �AES-Ceres <br /> w Sacramento,CA 95691 Modesto.CA 95357 1 Way 1920 Morgan Rd. $247.50 <br /> CAD 044 003 556 Silver Springs,NV 894: 820 Ceres,CA 95307 ' <br /> CAL 000190 816 NVD 982 358 483 GP-96563 602 CAL 000 393 680 } <br /> IMPORTANT <br /> THE L. <br /> This shipment of used oil may transNOTICE REGARDING <br /> transported o afaity that is required to comply with reuew, <br /> of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous wastelimanfacilities. <br /> le to agement state <br /> California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of-state <br /> facilities that process used oil also meet those requirements. These include more stringent leak detection and prevention requirements. <br /> engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil to out-of-state <br /> facilities that comply only with federal used oil management standards and not these more stringent requirements. <br /> Generator certifies that the above named waste stream has not been mixed <br /> with any other waste. Furthermore tl ps established a program to reduce t <br /> the volume&toX�city of waste ge/ner ted where economically practicable. <br /> WN <br /> Oriv�S� 1014869 <br /> igtlature Truck# G n rtor Slgnatul re` `' Print <br /> Please keep a copy of this invoice in a"Hazardous Waste"file for three(3)years as required by State law. <br /> XEPA#CAL000188867 DTSC#3670 CA339919 <br /> 164 Robles Way,#207,Vallejo,CA 94591 •Office 707-552-8419 Fax 707-648-2804 AMOUNT <br /> 1-888-609-2MAX or 1-888-700-4MAX $247.50 <br /> I <br /> 3AY Two Hundred'Forty Seven Dollars'And 50 Cents <br /> OTHE Maximum Oil Service <br /> )RDER OF 164 Robles Way #207 <br /> Vallejo CA 94591-8039 <br /> h4_ <br /> AUTHORIIEO SIGNATURE <br /> 8 SECURITY FEATURES INCLUDED.DETAILS ON BACK. IJ <br /> lie 101486911@ 1: 1211375221: 18945877481'@ <br />
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