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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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M 4's /tea- 1 <br /> I <br /> FORWAW + w <br /> 51TE: TICKET GRID <br /> , VCORPORATED 1 144097 D-98 <br /> 1t9 F uth Austen Ro WEIGH[NG LOCATION P.O Box 6336 WEIGHMASTER <br /> bt ,CA 95336 Stockton,CA 95206 K. SPARKS <br /> Lan (209)9824298/WEIGHING LOCATION Main Office (209) 4664482 DATE IN TIME IN <br /> Resource Recovery.(209)982-4936 Fax (209)465-0631 08/11 /99 1 O S 30 <br /> 866500 DATE OUT TIME OUT <br /> SEMCO 08/11 /99 10»31 <br /> MARK DREWRY VEHICLE ROLL OFF <br /> 1217 SOUTH 7th STREET TAYLOR TS <br /> MODEST© CA 95351 REFERENCE I ORIGIN <br /> 866500 N LSON READY MIX <br /> Scale 2 Gross Wexaht 7930O L6 Inbound - Charge ticket <br /> Stored Tare Weight 34400 LD r <br /> Net Wexaht 43900 L8 <br /> QTY UNIT DESCRIF+TION HATE EXTENSION TAX TOTAL <br /> 21 .95 TONS Class II So x l- b y Toni <br /> I <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster,whose signature Is <br /> 3n this cerflticate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Sectlon 12700)of Division 5 of the Califomla Business <br /> and Professions Code,administered by the Division of Measurement Standards of the Califomla Department of Food and Agriculture <br /> NET AMOUNT <br /> MANIFEST 0 49693 <br /> 0TRUCK # 9C51070 <br /> R.O. # NONE PROVIDED TENDERED <br /> TRAILER # l V25747 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209)982-4298 to schedule. <br /> Drive Safe l y I f CHECK NO <br /> recycled paper <br /> DRIVER'S SIGNATURE IL <br /> 1 y <br />
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