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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
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EHD - Public
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l <br /> . . <br /> FOR WARD ' <br /> SITE TICKET GRID <br /> �► INCORPORATED pil 1441:5 �/ D-98 <br /> )9 h Austin Road/WEIGHING LOCATION P.O Box 6336 •r+ EIG ASTER <br /> nA 95336 Stockton, CA 95206 L. MARGlUE� <br /> ld 1 209)982-4298/WEIGHING LOCATION Marr)Office (209)466-4482 DATE:IN TIME IN <br /> .ource Recovery.(209) V24936 Fax (209)465-0631 08/11 /99 08-.413 <br /> 866500k DATE:OUT TIME OUT <br /> SEMCO 46/11 /99 09:00 <br /> MARK DREWRY VEHICLE ROLL OFF <br /> 1217 SOUTH 7th STREET RHT 960 <br /> MODESTO CA 95351 REFERENCE I ORIGIN <br /> 866500 NELSON READY MIX <br /> Scale 1 Gross Weight 77360 LB Inbound -- Charge ticket <br /> Manual Tare Weight 32644 LH <br /> Net Weight 44720 LAS <br /> OTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL I <br /> 22.36 TONS Class It Soil by Tan <br /> IGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature Is <br /> this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Colifomla Businessr <br /> d Professions Code administered by the Dhrlslon of Measurement Standards of the Califomla Department of Food and Agriculture <br /> NET AMOU <br /> MANIFEST # 76556 1 <br /> . TRUCK ## 9C31387 � <br /> P.O. # NONE PRQVLDED _ TENDERED <br /> TRAILER 4# IVH5527 <br /> J Schedule 24 hours in Advance directly with the landfill . CHANGE <br /> Call (249)982-4298 to schedule. <br /> Drive Safely ! ► I CHECK NO <br /> DRIVER'S SIGNATURE 1 t�' i#* recycled paper <br /> y <br />
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