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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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2200 - Hazardous Waste Program
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PR0521562
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
11/19/2024 10:19:47 AM
Creation date
9/21/2020 3:05:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0521562
PE
2220
FACILITY_ID
FA0006388
FACILITY_NAME
KWIK SERVE
STREET_NUMBER
950
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23406002
CURRENT_STATUS
01
SITE_LOCATION
950 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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.. — sCHESILED i16 16l,LtuHY <br /> - - <br /> Plano,Tums 75024 viviw_safelY-kleen.ccm �wrt<Lc� FOA SERVICE CALL BRANCH MANAGER DOC.EXP. s w-I,�ti TEFAATI <br /> CU3TOMERNO. <br /> til`] '�'rJRRE' �1"i `IAC+J�rlri9 c I <br /> �E 'R€L'IOtPS 3At_ANCE U3JM.. ��. - A S tJ <br /> F— <br /> JAI j [•� _ .. - <br /> KKJ <br /> i �/ 1+r/�: CHAINSYC_Pic �N <br /> LOCATION TAX EXELIPT',ON NO_ <br /> `71 59 m <br /> :RVI E D TE SAd REPNC. CUSTOIAEF P.O.NUMBER CUSFC>ti1ER PiONE _ TAX CODE GATE EOPTIPR00 ORDERED EERVECE TAX C_OJA.S.TAX PRODUCTTAX LO <br /> .l1 t - pK t' p <br /> D 11 IJ <br /> SEjT/ICFI ER.IAL REMAs7(S/ SALES T L WASTE $OLVENT,DRl16f5 SER0ICE AIME D�>si Ni. i RO610 �4SD5 <br /> T uuivi. (, . � 1 ��r CC Tmµ S£FA V0NI-Rir �µ11 tom` NO- GN'=R <br /> PRO]UCT T UNITFRICE TAX HA MIN. c19 �Ir• SKpOT tv5�ex�UNIrLU N <br /> ,r L'x Q <br /> 1 W <br /> CD <br /> 'ua�.at r.• ❑ 11 <br /> . _ ,Z.0--^,�. . .r. e:;,.; _"_`, .CHECK <br /> poll � � � ns TO <br /> 7 ( i e�� { �,pY1#]pHWiE EEMSlxiVGE YPLr]N[PlC1�lY6XOO'IOD ❑ ❑ ll- � <br /> TOTAL-SERVICEJPRODUCTE + rw „ iu +XECC,�onol Q �] ���� IilG+LeFAVLiII.311CKfR Z � <br /> r� �7 <br /> 8C%E6 �,.-{E1J�I:MESS :U`P.Lt ILYf! ❑: ❑ ARDFO TDNJLHI•i. ❑ 0 L <br /> IXSTa11F0 <br /> ' T' 1 #` Rblsl ?OR EIi'2lDit4 `:.(3 lV�fiAl(Qt�.U$E'/41piI() ,', Qt+I TOsiS!'�4TE1 ¢ "'� LAIPASSiNBLY SYt717S1'WWKlEm. <br /> ❑ ❑ U7 <br /> " ' __ - - COYORT_N ❑, ❑ 513',2-!ICY CLCCY'+O - .- lfjtAVCEDIWIA <br /> .� ❑ � C <br /> '. r 0. .. .r l - I COY T.-qT KN TUTJIL <br /> _ 2.CLIA,VNERS 13. TOTAL 1a_UNR � ��NUA1i3ER i' � IT7 <br /> 1.US DQT QESCHEPTION (1NGLUDIP.G PROPER SHIPPING AU4'.iE,HAZARD C aND:IU.) rNPE Wam rr tSrvcL )'j vmmE srnFA4s AAE VVTf <br /> lr - C11E OF THE FCLL655TS, "'t <br /> ,. �:7T=} ���. ��,1 'a tom '. ' 3� �* 1 <br /> '1 +'' .]U Tdl Lam:VAlfli <br /> : - - - MLEa TO 2XO BSOJDP.TT! Q <br /> Ul <br /> CFrtiERir7N?2W)UR%7N as .Q� <br /> u <br /> - - - - me <br /> ZQ <br /> EMNATER FACILITY PIAME AND ADDRESS . C EjY K LE E N.�00 Y s `EMS ��`;C C=RneY TVAT NO rAAWIA1 CH a V�His aCGLXNED USA EPA ID NO. ) _ <br /> - !! '^C'- a AF i� i �-3WER IN THE.CHAII.CiER3TIC5 OF-THE 'dA.STE ui <br /> N THE PRCCESS 5�.NERAANG THE l / i <br /> Nl$TEI(A 9U4LF,.. SfATE ID NSD. �., <br /> c— � , .T I REE ltf.PAY THE MWE CHARGES AND TO:E ROUND BY THE TEAK+S PIjD jbTAZCHAACC <br /> CASH i]TALHEC�IYEO' AP;LY PAYl1E TO: :ajwlrfr Q <br /> DITIDNS:SEL FORTH ABOVE A)!U-dN THE FF4T51,�WE OF THIS OCC47JEM. (FHOIA AHO'JE) <br /> CHECKNWA9ER I]Taaarss�mlCEfs�_ �. 1.�� [[��ttsE CHnzTT� MY T cquin Flx� iTas m,xsacnorT uHLEss oTHF�ivsE <br /> • - IfID— TED N THE PA'RIENf RECEVED,SECnL:+L THE NORTOLIPL SICMG T-K$ `yVASM MIN. ' - ,�.,'•3i;�t�2n::�, -s I ��� <br /> ;l�PFAOIY-OAL.V+CEPSFIUx'13 - L Al SSAGE DOCUKIENFODULYAUTHO91280TO31611PAQSINDCISf AIERTOITSTEN,IS. � � (FRONt>;®O'�O _ f.'. ."•=5- (n � <br /> INVOICEd PATCUNi INYOBCEAr = AMOUNTS 1 +n<:zbcrirrru, fsol�»� dr� �.:bbw �; r G � m <br /> ( '. a,��,>alvm.�n,c, :s+aoor_a t �r+�:. TOTAL DUE '�� . <br /> k�AOus` �ti•-__ . `- ----- IdAx sTCOfaE SSC g y�_ �» L; VtA1T I.VTHBAR IAB <br /> , <br /> 2LOV/ m <br /> C �'A-i l <br /> 1 — ta*tat <br /> 1 Prl+t u-:wmef None <br /> —94681 <br /> ,1 l <br /> 1aE 3 .. .-�;-:-`7* .lIrl , +fit 1 - (K 5 6 41 <br /> r . 7 ;.` GW P--ls,Aulj uvzad RsprmentaCwe <br />
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