My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
W
>
WINDMILL COVE
>
8503
>
2900 - Site Mitigation Program
>
PR0540185
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/27/2021 4:49:08 PM
Creation date
5/27/2021 3:58:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0540185
PE
2953
FACILITY_ID
FA0022973
FACILITY_NAME
GLOBAL 7 OCEANIC
STREET_NUMBER
8503
Direction
W
STREET_NAME
WINDMILL COVE
STREET_TYPE
RD
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
8503 W WINDMILL COVE RD
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
347
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Print Drivers Name <br />Customer Signature Date Driver Signature <br />SERVICE ORDER FOR SERVICE CALL: <br />DIXON OFFICE <br />1-800-7-ASELIqY <br />FRESNO <br />559-498-0240 <br />CHICO OFFICE <br />800-733-9043 <br />c-,ORM!,10 AES004-E. (REV 10tOn <br />SERVICE ORDER NO <br />ASBURY ENVIRONMENTAL SERVICES <br />1300 SOUTH SANTA FE COMPTON, CA 90221 <br />1-310-886-3400 <br />TRANSPORTER EPA # CA0028277036 <br />ti <br />0 <br />CUSTOMER # PURCHASE ORDER # ROUTE # TRUCK # CONTACT NAME ORDER TAKEN BY HALIDES <br />I <br />, <br />DATE REQUIRED DATE ENTERED NEXT SER16AfE CUSTOMER EPA# MANIFEST# <br />,0 <br />/ <br />PART # DESCRIPTION Q UNIT R CE QTY P/D; TOTAL <br />TOTAL <br />' <br />CASH REC'D: CHECK # PLEASE PAY FROM THIS SERVICE ORDER <br />_ <br />_ <br />WASTE DISPOSAL F R ATION <br />NON-RCRA HAZARDOUS WASTE, LIQUID (USED OILJMIXEI: OILS) 'NJ PLACARDS REQUIRED^ STATE CODE 221 <br />NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE Gi.rtOk SC A .il IONS) 'NO PLACARDS REQUIRED* STATE CODE <br />, OTHER: <br />_ DESIGNATED TSDF: <br />_ ALTERNATE TSDF: <br />_ <br />DRUMS <br />SA RECYCLING: 33210 Western Avei me, Union City, CA 94567 1-510-487-927' <br />PM: EMPTYDRUMS: FACILITY: 6 <br />GENERATOR WASTE CERTIFICATION <br />PLEASE CHECK THE APPROPRIATE BOX <br />This is to certify that the waste described above is properly classified, described, paSkaged, marked and labeled and IS in proper condition for transportation, according to applicable State <br />and federal regulations. By signing below I also hereby certify that: <br />Waste oil generator/customer MUST check ONE of the following three boxes) <br />#11 I have not mixed any of the waste described above with any other hazardous waste, the total halide content is LESS than 1,000 ppm, and the waste does not contain any PCBs. I have <br />complied with the requirements of the applicable California used oil management regulations to determine this Is true.) agree to accept the additional charges for the disposal of this waste <br />if the information I have provided about this waste is incorrect <br />Ii2}I have not mixed any of the waste described above with any other hazardous waste, the total halide content is GREATER than 1,00i) ppm, arid the waste does not contain any PCBs. I <br />have provided proper documentation to Asbury Environmental Services to rebut the presumption that this waste was mixed with other hazardous waste. I agree to accept the additional charges <br />for the disposal of this waste if the information I have provided about this waste is incorrect <br />0 #3) This Waste is from a tank which collects waste oil from household "do-it-yourself" (01Y) and/or conditionally exempt smell quantity generator (CESQG) sources. To the best of my <br />knowledge, the only waste oil contained in my DIY/ CESQG collection tank is soley tidal lIlY and/or CESQG sources. I have tint mixed this waste oil with any other hazardous Waste Sr <br />waste nil from other sources. I agree to accept the additional charges far disposal of this waste it the information I have provided about this waste la incorrect <br />(All generators/customers MUST read the following text and check the associated box.) <br />0 #4) If I am a large quantity generator, I certify that I have a program in place to reduce the volume arid toxicity of waste generated to the degree I have determine.d to he economically <br />practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future threat to human life and <br />the environment; Or, if I ant a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best waste management method that is available <br />to me that I can afford.
The URL can be used to link to this page
Your browser does not support the video tag.