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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 /> FORWARD rSITE I TICKET TGRID <br /> �+ INC © RP0RATED 011 144135 D �$ <br /> 9 outh As, oa WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> �.. � � L. MARQUE,Z <br /> CA 95336 Stockton,CA 95206 <br /> Lan I 209)982-428/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> cel Recovery (209)982-4936 Fax.(209)465-0631 08/11/99 11 :39 <br /> -866500 DATE OUT TIME OUT <br /> SEM100 # i 08/11 /911 21 ;59 <br /> MAM'',PREWRY 01VEHICLE ROLL OFF <br /> 1217 $OUTH 7th STREET RFIT 920 <br /> MODEST! CA 95351 REFERENCE ORIGIN <br /> 866500 NELSON READY MIX <br /> ScAle 1 Grass Weight 74960 LB Inbounq - Charge ticked <br /> Manual Tare Weight 32324 LS <br /> Net Weight 42660 L8 <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 21 . TO S Class II Soil by Ton <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was welghed measured or counted by a welghmoster whose signature Is <br /> on this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Secbon 12X00)of Division 5 of the California Business <br /> and Professions Code admin45tered bylthe DMslon of Measurement Standards of+the Coilfomia Department of Food and Agriculture <br /> MANIFEST # 6£32941 NET AM0UNT <br /> ,. <br /> 40 TRUCK # 9C16444 <br /> TENDERED <br /> 0TRAILER # 1 VJ5379 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209 )982-4298 to schedule. <br /> Drive £safe 1 Y I # CHECK NO <br /> recycled paper <br /> DRIVER'S SIGNATURE <br /> - <br />
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