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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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PR0514378
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
5/22/2019 2:06:02 PM
Creation date
11/1/2018 10:57:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0514378
PE
2220
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\420\PR0514378\COMPLIANCE INFO 2000 - 2015.PDF
QuestysFileName
COMPLIANCE INFO 2000 - 2015
QuestysRecordDate
3/10/2018 12:13:12 AM
QuestysRecordID
3824865
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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o 6 <br /> Universal Services Recycling Inc T T Tran No B 1123533 <br /> 3200 South El Dorado <br /> Stockton, CA 95206 UN�IVERSA; (I I II I I III NN II <br /> RC-7585 9555 SEECYCLING n 1 Z UII5I I3 3 IN <br /> WEIGHMASTER CERTIFICATE �1`� CUSTOMER COPY <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this <br /> certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California <br /> Business and Professionals code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> Seller 13257 Driver's Licence: 0 <br /> tokay shell - - <br /> 420 w kettleman In vehicle: <br /> Jodi <br /> Commodity Gross Tare Net Adj UnitPrice UM Amount <br /> Tin Mix 9340 6880 2460 0.0% $0.0125 Lbs $30.75 <br /> 3 — GAS PUMPS Total Payment $30.75 <br /> BILL OF SALE <br /> I HEREBY STATE THAT I AM THE LAWFUL OWNER OF THE MATERIAL DESCRIBED HEREON,THAT I HAVE A RIGHT TO SELL SAME, <br /> AND THAT FOR PAYMENT RECEIVED IN FULL, HEREBY ACKNOWLEDGE, I SELL AND CONVEY TITLE OF SAME TO USR INC. I <br /> DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. <br /> EXECUTED ATS KTO ,C . THIS DATE: 1/31/2007 <br /> 1 received fro US Inc.the mount of $30.75 <br /> X HOURS <br /> Seller' _Signa ure MON-FRI 7:30-4:15, SAT 7:30-2:15 <br /> USR INC WEIGHMAST <br /> DEPUTY DAVE <br /> WEIGHED AT 3200 SOUTH EL DORADO, STOCKTON, CALIFORNIA CUSTOMER COPY <br /> HOLD HARMLESS AGREEMENT. Seller will indemnify and hold buyer harmless from damages,demands and liabilities, including reasonable <br /> attorney's fees, resulting from breach of any warranty hereunder and driver agrees to be responsible for damage to vehicle during unloading. <br /> CASH / CHECK Page 1 of 1 <br />
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