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REMOVAL_2014
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231158
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REMOVAL_2014
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Entry Properties
Last modified
3/2/2022 2:44:48 PM
Creation date
11/8/2018 9:35:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2014
RECORD_ID
PR0231158
PE
2361
FACILITY_ID
FA0003749
FACILITY_NAME
SJ REGIONAL TRANSIT
STREET_NUMBER
1533
Direction
E
STREET_NAME
LINDSAY
STREET_TYPE
ST
City
STOCKTON
Zip
952054498
APN
15302004
CURRENT_STATUS
02
SITE_LOCATION
1533 E LINDSAY ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\L\LINDSAY\1533\PR0231158\REMOVAL 2014.PDF
QuestysFileName
REMOVAL 2014
QuestysRecordDate
3/25/2016 4:38:22 PM
QuestysRecordID
3031124
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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FORWARD LAN <br />9999 S AUSTI D <br />010392 <br />JIM THORPE OIL INC. <br />MARTIN THORPE <br />P O BOX 357 <br />4204141109 <br />'SITETICKET <br />CELL <br />Y8 186 <br />RATE <br />WEIGHMASTER <br />Christina G. <br />DATE/TIME IN <br />DATE/TIME OUT <br />02-13-2014 11:13 am <br />02-13-2014 11:13 arc <br />VEHICLE <br />CONTAINER <br />JIM 7 <br />REFERENCE <br />BILL OF LADING <br />1 o"cl A, <br />I MANUAL IN GROSS WEIGHT 34,700 NET TONS 2.11 <br />S(MLE OUT TARE WEIGHT 30,480 NET WEIGHT 4,220 INBOUND <br />CITY. <br />UNIT <br />DESCRIPTION <br />RATE <br />EXTENSION <br />TAX <br />TOTAL <br />18.0 <br />• YD <br />TRACKING QTY <br />2.11 <br />TN SW—CONST DEBRIS STOCKTON <br />2.1 <br />TN <br />SW—CONST DEBRIS STOCKTON <br />1.00 <br />1.0 <br />ENVIRONMENTAL FEE 1 <br />1.0 <br />FUEL RECOVERY FEE <br />TENDERED <br />The undersigned Individual signing this document on behalf of Customer acknowledges that he or she has m4 and Anderstands the terms and conditions CHANGE <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br />CHECKk <br />RS-FO42UPR (07/12) SIGNATURE ,V <br />FORWARD LANDFILL <br />9999 S AUSTIN RD <br />DATEMNIE OUT <br />010392 no -13-2014 - - 1.13= <br />VEHICLE CONTAINER <br />JIM THORPE OIL INC. <br />MARTIN THORPE TTM 7 <br />REFERENCE <br />P 0 BOX 357 INVOICE <br />4204141109 BILL OF LADING <br />1235141 <br />MANUAL IN GROSS WEIGHT 34,700 NET TONS 2.11 <br />SCALE OUT TARE WEIGHT 30,480 NET WEIGHT 4,220 INBOUND <br />Ory. <br />UNIT DESCRIPTION <br />RATE EXTENSION <br />TAX <br />TOTAL <br />18.0 <br />YD TRACKING QTY <br />2.11 <br />TN SW—CONST DEBRIS STOCKTON <br />1.0c <br />ENVIRONMENTAL FEE 1 <br />1.00 <br />FUEL RECOVERY FEE <br />TENDERED <br />The undersigned individual signing this document on behalf of Customer acknowledges that he or she has r d understands the terms and conditions CHANGE <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br />CHECKM <br />RS-F042UPR (07/12) 201 SIGNATURE .___— _ <br />
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