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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
Scanner
TMorelli
Tags
EHD - Public
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I <br /> PORWARDTICKET GRID <br /> �► INCORPORATED <br /> 9 Au,,nRoad/WEIGHING LOCATION P 0 BOX 6336 j,° R WEIGHMASTER <br /> L. <br /> di A 95336 ° Stockton,CA 95206 MARQUE <br /> dfi 09) 982-4298 WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> wrce Recovery (209) 982-4936 Fax (209)465-0631 11 "" <br /> 27 <br /> 866500 DATE OUT TIME OUT <br /> SEMC© 8 <br /> 1 <br /> MARK DREWRY VEHICLE ROLL OFF <br /> 1217 SOUTH 7th STREET RHT 990 <br /> MODESTO CA 95351 REFERENCE ORIGIN <br /> 865500 NELSON READY MIX <br /> Sole 2 Gross Weight 63560 LS Inbound - Charge ticket <br /> Manual Tare Weight 53140 L8 <br /> Net Weight 30520 L8 <br /> CITY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 15.E6 TONS Class 11 Soil by Ton <br /> GHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature Is <br /> his certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Colifornla Business <br /> 1 Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> MANIFEST # 682943 <br /> TRUCK # 9c31389 <br /> P.O. # NONE PROVIDED TENDERED <br /> t TRAILER # yc5460 <br /> Schedule 24 hours in advance directly with the-,landfill . CHANGE <br /> Call (209)982-4e9S to schedule" <br /> Drive Safe 1 y ! I CHECK NO <br /> 4F recycled paper <br /> E <br /> DRIVER'S SIGNA7UR <br /> I <br />
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