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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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CLAREMONT
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2200 - Hazardous Waste Program
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PR0516229
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
12/7/2021 12:56:39 PM
Creation date
10/8/2020 2:03:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0516229
PE
2227
FACILITY_ID
FA0012386
FACILITY_NAME
BRANNON TIRE - CLAREMONT
STREET_NUMBER
4905
STREET_NAME
CLAREMONT
City
STOCKTON
Zip
95207
APN
10223010
CURRENT_STATUS
02
SITE_LOCATION
4905 CLAREMONT
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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FRENIOUNV E -VIRO' NIENTAL CRVICES, INC. <br /> �cnd PJ%rm,ci. :e " __ - =p.1D- Rooij::'_n>' 6 3 9 <br /> P.O. Bo. , -- r�_.__. _<<__-ort S.D.o.T.= 1?8465 TiNVOICE # <br /> aca%ille. C3`9z696-287: Yzx: D...S.C. Y 35?4 n <br /> —� <br /> u a n.hazuzsteTe>no�al.com CA#274461 Date <br /> SITE ADDRESS BILLING/MAILING ADDRESS <br /> Customer Brannon Tire Customer Brannon Tire <br /> 4905 Claremont Avenue P.O. Box 1988 <br /> Stockton, CA 9 207 Stockton, CA 95201 <br /> E.P.A. CAL 0001.96 538 Phone <br /> Additional Contacts: 209 477-9000 <br /> Mike <br /> PRODUCT - SERVICE INFORMATION 'PROPER SHIPPING DESCRIPTION <br /> 7 • 14 • 21 . 30 - 45 • 60 • SO • iB0 • 3365 W/C WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> CODE <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) CA 221 YjljCC N L L <br /> Non-RCRA Hazardous Waste Liquid(Used Anti Freeze) CA 134 1 1.008, <br /> Non-RCRA Hazardous Waste Liquid (Oity Water) CA 223 <br /> Drained Used Oil /Gasoline/Diesel Filters N/A I 55.00 <br /> Non-RCRA Hazardous Waste Solid(Oil Contamded Debns, Sol) CA 223 <br /> Parts Washer Service C 23 <br /> Non-RCRA Hazardous Waste Liquid (Brake Fluid) CA 3431 <br /> Waste Flarnmable ( ) <br /> l.lq�d, N.O.S., 3, UNIM], PGII Gasolvle-Diesel n1/D0181 <br /> ErrQ,/ Jr•-) ._ p oriole Pe—cve P.' 'A2 5g :1 'Ua 7 15g ZI 309 ID 55g ZI S P F <br /> Clor-D-Tec- Q4x,:-e5r K -es- :1 Pass j Foil Generator Knowledge PPM <br /> Transportation C^;c gesi,goai,icr.ai TrUCk;im /Additional Labor/ LAI,Packing/Site Cleaning <br /> Clear: Y ti' ';opus j O! -' A/F UOF Oily DebrisP <br /> SERVICES REQUESTED BY D TAX <br /> we <br /> Ac e t = *—w = P. O. TOTAL CHARGES: <br /> GENERATOR'S CERTIRCATIOh'_ -_-_--:---- _----... <br /> coe ec -c c = _:_;_ - -a _ __ _ _ _ _ - __ - =c-=-c= ._.c^cec e.,_ e o:crape-shipp;oy name and are classified,packed.marked.and <br /> rave c c cl <br /> - - -- _____---- -_- _ _ E:eg_as On;. li am o Ierge quantity generator,I certify that I <br /> -_ J ccln c _eb'e ano'net I have selected the practicable method <br /> _— - -_ _-- _ __- - c^ - „^c-^e erg rc-.tee^r OR.If 1 am o small quantity generator,I have mode <br /> veil be .. - -- - - - _ - _-- - - _ _ <br /> "^ __ _ _ _ _ _ __ __ _ e Ono tear can.,`cord. All used oil from the generator listed above <br /> Taro_ s_ __ ,_ _ _ _ _- _ -. ec c:OR c •rc's reau'•eo'c corral,with:edercl regulation;applicable to the <br /> ne cus:omer agrees to pay reasonable costs and attorney <br /> e - - deoarender enalty of Denu shot the for cin 1 is true and correct. <br /> POSAL/RECYCLING FAG1 IT1: ["'Collection Station Inaustrial Agriculture Govemment Marine Other fndit C <br /> usil Lubrbatln <br /> rgeen - am r9reen , rc all <br /> 44561 Roaa 308 6880 Smith Ave1021 Be B cad 401 W.C ors n e l Ig nv►onm 1st wilily NU <br /> 1 Dm,CA 95616 el Road Ne,*Aan4a Dr.,Eaef <br /> 510-7954400 CAD 982446874 Nem 3 San J 133 4 9enicio, 10 5 emley,W am510-7954400 CAD 41 406-44 GAD 0.8494310 510541-21 1000301639 <br /> 5.2760 MID 9908.95338 <br /> t Narrieen s ggnn <br /> I hgreb certifythat I h ve read and have th th i tosb nd thea ave listed enerator to the termsronithe verse de o <br /> M. <br /> 990/6£01$1 O,UI SDAS AuZI AfI0WMM 66b£MLOLT IVA VZ:9T TTOZ/ZZ/80 <br />
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