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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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FORWARD SITE TICKET GRID <br /> �+ INCORPORATED 011 144070 D-98 <br /> f <br /> WEIGHMASTER <br /> S Austin Roa wEiG NG LOCATION P O Box 6336 <br /> e 95336 - �, � Stockton,CA 95206 L. MARQUES <br /> 9)982.4298/WEIGHING LOCATION., Main Office (209)466-4482 DATE IN TIME w <br /> e Recovery (209) 9824936 - , ) Fax (209) 465-0631 08/11 /99 09:31 <br /> 866500 DATE OUT TIME:OUT <br /> SEMCO 08/11 /99 09:45 <br /> MARK DREWRY VEHICLE: ROLL OFF <br /> 1217 SOUTH 7th STREET RHT 950 <br /> MCDESTO CA 95351 REFERENCE ORIGIN <br /> 866500 NELSON READY MIX <br /> Scale 1 ©moss Weight 74360 LS inbound - Charge ticket <br /> Manual Tare Weight 34963 LH <br /> Net Weight 39400 LS -10 <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 19.74 TONS Class II Soil by Ton ¢� <br /> I <br /> t <br /> HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmoster whose signature is <br /> us certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12706)of Dlvislon 5 of the California Business <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture , <br /> NET AMOUNT <br /> MANIFEST # 76559 <br /> 10TRUCK # 9A43973 <br /> P.D. # NONE PROVIDED TENDERED <br /> TRAILER # IUY6469 <br /> Schedule 24 homr-s in advance directly With the landfill . CHANGE <br /> Call (209)982.4298 to schedule. <br /> ,� <br /> Drive Safe ly f t CHECK NO <br /> 4 <br /> recycled paper <br /> DRIVER'S SIGNAT <br /> ✓ f <br /> i � <br />
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