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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BROADWAY
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1621
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1900 - Hazardous Materials Program
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PR0519833
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BILLING_PRE 2019
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Entry Properties
Last modified
2/16/2021 8:25:06 AM
Creation date
6/8/2018 5:38:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0519833
PE
1921
FACILITY_ID
FA0009733
FACILITY_NAME
WESTERN SQUARE INDUSTRIES INC
STREET_NUMBER
1621
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14315008
CURRENT_STATUS
Active, billable
SITE_LOCATION
1621 N BROADWAY AVE
P_LOCATION
99
P_DISTRICT
001
Supplemental fields
FilePath
\MIGRATIONS\B\BROADWAY\1621\PR0519833\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
6/30/2016 5:41:32 PM
QuestysRecordID
2829231
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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AsnaEssau E _ <br /> COPPESPoNOENLE -1485' <br /> N 148�F'r5^ <br /> qNO PEM PNCE <br /> P-0, <br /> 0 O)'561 <br /> WELDhiG SL4_ LV [�r. <br /> .' OCKt'bN PHONE 466-8804 <br /> CALIFORNIA 817 50.CENTER QnyCR <br /> 962m STOCKTON•CALIFORNIA <br /> PHONE 3B;IDR PHONE 6F61 PHONE FWD <br /> 13 E.LOCKERX St lOW E Ilal ST. %i MOFFAT BLVD. 1 1 <br /> LOOT.CAOF. TRACY.GLI0. MANTEL.GIIF. ATE 19� T T <br /> REFER TO THIS NUMBER C <br /> ALL CORRESPONDENCE <br /> CUSTOMER'S <br /> TO <br /> OLD t7 ORDER N0. f� i SHIP DATE <br /> v1n17 MO. DAY YR. <br /> ADDRESS . ` F RSB IL A CASH CHECK <br /> C TON CQ 75205 CREDIT CARD _ <br /> SHIPPED ARSE-T MS NET 1001 S.P.NO. C.O.D. SPEC.HAND. <br /> TO <br /> QUANTITY DESCRIPTION TOTAL CU PRICE AMOUNT - <br /> ORO. B.O. SNIPPED FT OR WT <br /> OXYGEN I <br /> NON-FLAMMABLE GAS M UN 10T1 <br /> I I - SHIP VIA <br /> ACETYLENE 1 1 <br /> FLAMMABLE GAS N UN 1001 <br /> I I 011.BOC GASES EQUIP.El 2.CUSTOMER EQUIP. ❑0.COMMON CARRiE <br /> ARGON <br /> NON-FLAMMABLE GAS NUN ION1 I 01.GAS TRAILER ❑S.LIQUID TRAILER ❑9.RAILCAR <br /> CARBON DIOXIDE 4L; GAUGE DELIVERY <br /> NON IRLAMMABLE GAS N UN 1013 <br /> NITROGEN 1 <br /> NON-FLAMMABLE GAS N UN 1056 1 I <br /> COMPRESSED GAS N.O.S. I GAUGE OUT <br /> N UN 1968 <br /> I 1 <br /> GAUGE IN <br /> 1 1 BILLING QTY.DLVD. <br /> / I I <br /> CUSTOMER SCALE DELIVERY <br /> L I I <br /> WEIGHT IN <br /> I WEIGHT OUT <br /> - I WEIGHT DELIVERED <br /> U <br /> CONVERSION FACTOR <br /> BILLING QTY.DLVD. <br /> RENTAL CYLINDERS RENTAL CYLINDERS TAX `i / METER DELIVERY <br /> DELIVERED RETURNED 1 <br /> TOTAL ( METER END <br /> METER START <br /> CONTRACT TERMS ON REVERSE METERED GALS.DLVD. <br /> yMSDSS���////SUP/(/�/P//l�LIED ❑ CONVERSION FACTOR <br /> WRITTEN FILLED i X V `� "l/ Y�^�tO BILLING QTY.DLVD. <br /> BY By <br /> ISignmBsl <br /> EMERGENCY CONTACT: -- Receipt acknowledged and C ct CRYOGENIC DELIVERY <br /> CHEMTREC (800) 4249300 Terms agreed to by Customer: <br /> •�;•• ]Vlo VVILL Dt FItLHFUL IN BOC GASES' CONTINUING EFFORT TO MEET OUR INCHES IN <br /> CUSTOMER'S EXPECTATIONS FOR QUALITY SERVICE AND RELIABLE SUPPLY, PLEASE NOTE ANY - <br /> COMMENTS IN THE SPACE ABOVE AND FORWARD A COPY TO BOC GASES SALES DEVELOPMENT, <br /> 575 MOUNTAIN AVENUE,MURRAY HILL.NEW JERSEY 07974. INCHES OUT <br /> MISCELLANEOUS CHARGES <br /> QUANTITY PROPER DOT SHIPPING NAME UNIT LOT T.E.j PRODUCT CODE I UNITS UNIT PRICE AMOUNT <br /> --OXYGEN AND,NITROGEWLADINGS ARE PRODUCED BY THE AIR LIQUEFACTION PROCESS qND:ARE CERTIFIED TO <br /> "CONFORM WITH THE STANDARD OF STRENGTH QUALITY AND"PURfIY1N THE CURRENT U.S. PH.4RMACOPOEIAI <br /> NATIONAL FORMULARY:WHICH EVER IS.APPLICACLE.THIS STATEMENT-DOES NOT APPLY TO ANY OTHER-CADINGS <br /> -THAT MAYBE LISTED ABOVE - - - - - -.. - . . <br /> THE PURCHASER.BY ACCEPTANCE AND USE OF THE GOODS SPECIFIED HEREIN.ACCEPTS AND AGREES TO BE BOUND BY THE CONDITIONS PRINTED ON THE REVERSE SIDEOF THIS RECEIPT <br /> CONSIGNEE IN EVENT OF ANY EMERGENCY CONCERNING ' SHIPPER <br /> THE CHEMICALS IN THIS SHIPMENT, CALL CHEMTREC GW5000G 19, <br /> ?CrfCfrvr_ I IM�rne—r�EAr— -„_., <br /> TOLL FREE NUMBER 800-424-9300, DAY OR NIGHT. <br />
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