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ARCHIVED REPORTS XR0005571
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COLONY
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1442
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2900 - Site Mitigation Program
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PR0541478
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ARCHIVED REPORTS XR0005571
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Entry Properties
Last modified
8/19/2020 3:34:19 AM
Creation date
10/10/2018 11:21:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0005571
FileName_PostFix
XR0005571
RECORD_ID
PR0541478
PE
2950
FACILITY_ID
FA0023778
FACILITY_NAME
CHEVRON STATION #210997
STREET_NUMBER
1442
Direction
W
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102028
CURRENT_STATUS
01
SITE_LOCATION
1442 W COLONY RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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TMorelli
Tags
EHD - Public
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ARW <br /> FORWARD <br /> � SITE TICKET GRID � <br /> INCORPORATED 01 144084 D--98 <br /> I S Au5trn Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> to 195336 Stockton, CA 95206 L. MARQUEZ <br /> Fit 9) 982-4298/WEIGHING LOCATION ,Main Office (209)466-4482 DATE IN TIME IN <br /> urce Recovery (209) 982-4936 Fax (209) 465-0631 08/11/99 10:06 <br /> 866500 DATE OUT TIME OUT <br /> SEMCO OB/ii/99 10:E5 <br /> MARK DREWRY VEHICLE ROLL OFF + <br /> 1217 SOUTH 7th STREET RHT 960 <br /> MODESTO CA 95351 REFERENCE I ORIGIN <br /> 866504 NELSON READY MTX <br /> Scale I Gros; Weight 75040 Lb Inbound •- Charge ticket <br /> Manual, Tara Weight 32564 LB <br /> Net, Weight 42460 LB <br /> QTY UNIT DESCRIPTION RATE EX"T"ENSION TAX TOTAL <br /> 21 .23 TONS Class 11 Soil by Ton <br /> h <br /> a ;1 <br /> HMASTFR CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by o weighmoster whose signature Is <br /> is certificate who Is a recognized outhority of accuracy as prescribed by Chapter 7(commencing with Sectlon 12700)of Dlvlslon 5 of the California Business <br /> Irofessions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture l <br /> MANIFEST # 44622 NET AMOUNT <br /> STRUCK # 9C31387 � ^� ` <br /> fi.0- # NONE PROVIDED TENDERED <br /> TRAILER # 1VH5527 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209 3982--4298 to schedule. <br /> Drive Safe l y l l CHECK NO <br /> A recycled paper <br /> DRIVER'S SIGNATURE '1 1 tot <br /> r <br />
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