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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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FQ1 <br /> RW v' i•�/ - y. SITE ICKET�:,ATEDIN4 144154 <br /> 91Muth Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> M ,CA 95336 Stockton,CA 95206 K. SPARKS <br /> Lan i 1.(209)982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> Resource Recovery (209)982-4936 Fax (209) 465-0631 08/11/99 12 s 29 <br /> 866544 �' DATE OUT TIME OUT <br /> SEMCO 08/11 /99 12:29 <br /> MARK DREWRY VEHICLE: ROLL OFF <br /> 1217 SOUTH 7th STREET TAYLOR T5 <br /> MODESTO CA 95351 REFERENCE I ORIGIN <br /> 866500 NELSON READY MIK <br /> Scale 1 Gross Weight 80220 LS Inbound Charge ticket <br /> Stared Tare Weight 33300 LD E <br /> Net Weight 46920 LB J� <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 23.4 ,.TONS Class II Soil byrtTon <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature Is <br /> on this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section]2700)of Division 5 of the California Business <br /> and Professions Code administered by the Division of Measurement Standards of the California Depariment of Food and Agriculture t <br /> NET AMOUNT <br /> MANIFEST # 108703 <br /> TRUCK # - 9A93261 <br /> P.O. # NONE PROVIDED TENDERED <br /> TRAILER # i WD9397 � <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (249)982-4298 to schedule. <br /> Drive Safely ) ' CHECK NO <br /> A recycled paper <br /> DRIVER'S SIGNATURE <br /> I <br /> t <br /> r - <br /> r <br />
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