My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
Y
>
YOSEMITE
>
907
>
4700 - Waste Tire Program
>
PR0526145
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/12/2020 11:54:56 AM
Creation date
1/4/2019 3:03:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526145
PE
4740
FACILITY_ID
FA0017692
FACILITY_NAME
XAVIERS QUALITY TIRES
STREET_NUMBER
907
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21760027
CURRENT_STATUS
02
SITE_LOCATION
907 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
CField
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
179
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
'� Dela at R===R=7cfty Md Ramvery <br /> Cil Comprehensiv rip Log and Receipts R�.6oa129�— CAgM2-12 3 <br /> Fft-Gloll; <br /> E X A AA P i? E 3 Com nehansiv-e T�n Number <br /> INSTRUCTIONS ON BACK OF PART2 DONOT TAPE.STAPLE OR�DUPLICATE - • 5037 5 $ 6q Etas cA Co 1Vw w-1,ft iw wdMW*L f.1.•ip,�nes.Ctrl fh.kdonfrla,Modd.d m ft.form-a be r..W..a <br /> . <br /> 17641 at 0eq.,if■reoxv2 brad.AY aft* "d fhi kVomatlo,Cgp o Y-®cw&jd tll..f�d V*tan-1•N-*k..• d l Prop7.'yeT•�d t f.o.v.t ki•cdiM-e•.�7C•i Tid.,91 CM 8•c'Sm <br /> vdoptiacl.auvDc pRd5s1 on 01600 Fanta <br /> V <br /> Truck[lecai Number Hauler Address 5 S <br /> Business Name ��Z ` <br /> Address Q o) <br /> on — HPRR ©' City,State and Zip <br /> G'ltj Q- <br /> Lkxme Plate Number State l , <br /> acc_c <br /> ® [61 0 © ❑ Cameron i <br /> leer* <br /> wt-af d p.ysy f!- d th.fsa d oa+a„b t}stl :,tet-:m awa•d.cd,-b oin-.f aarxz 6•it—�Y7p.. I sws Cqt Cb mq�C N 0=Pw=lat t a dated of r,�pd <br /> and�raY^sa:tt ki dA penz:iw LV b S 75A00 Pa` uotc'1on a p m 55.000 pa rkt: n Da d.7 ad d®aiCm:f tr7 RGaY Rr. nca <br /> Driver's Name Driver's Si rtiatiae p <br /> Comprehensiveate <br /> •. Number Load information <br /> FacilityProgram ■ <br /> 4 <br /> 50 1 <br /> 01 37576 - (r` Pick Up ^Delivery I❑ t <br /> Hauler Tire ram.lD"/ Site Suffix DATE J Facility Telephone Number <br /> W HIE <br /> ®Ec4,1 fl EWlwle TEM Carmi ❑Wght inLse�` - `C® ❑vauma Cubic Yds ❑WBighin ToruN e/ ddress <br /> 1 <br /> a t�() <br /> c Hauler Name S <br /> r r <br /> V t �S ( Stamp r ei K <br /> Hauler Telephone Number ® ❑ Address Same as Hauler <br /> (�yq <br /> ^ ` (� WA for �CMrF V nus u#D£a P-AM 6F pSutm of nC- <br /> c9,0 'Gl 1�1 CX) wfai•Tisa) tAM of nM STME OF Cuaaoaa nuc?na <br /> PIMIYAIED ATW6MmCORRECL <br /> Comprehensive Trip Log Number Load Intormation Facility Tire Program ID Site Suffix <br /> •= 5037576 -- B "Pick Up Delivery T- H— <br /> Count <br /> HIRL <br /> G ❑®� <br /> L�1 a <br /> ID Hauler Tire Program ID / 'Site suffix / /. Facility Telephone Number <br /> DATE ®® �© ❑© <br /> �+ f w❑ ❑ eight in Lbs.. <br /> ./ Fac �� <br /> m �. ;_ �•. . � � ❑Volume Cubic Yds.❑Weight in Tons Nam a� j <br /> o "HaRsfes Mame crcy, �.`C- p �Y QrcC <br /> -Na <br /> : <br /> 4_`- <br /> _ f� Stamp � -C.09 95-2 <br /> Hauler Telephone Number JJ ❑ Address Sarrie as Hauler <br /> r11y� MWA for f mmFY.nucr usr i avuuTr OF PSUU Y of T31E ; <br /> (V� € / w+cok'rhsl u�ssovn�snaeoFcAtsaaaAnwn�• . <br /> ••■IPoIMUTIo•r PROWMER MME R TRIM OM <br /> s <br /> 5037576 -- A Pick Up - ,Deliveryf g [y] T(y —R 4 <br /> IL <br /> Hauler Tue Pro ram iD / Site Suffix FacilityTele hone Number <br /> r DATE ®® / E® ` ©® p _ <br /> ul Whole Tire Court ® <br /> E] Weight in Lb3. a � <br /> ❑ Faci€ity Business <br /> j fff♦ I Volume Cubic Yds.❑Weight In Tons Name/Address <br /> o Hauler Name ECity, BOGY. RECYCLING <br /> OU OF CIL iFORNIA INC. <br /> vYC' U t Q / nStar&4�0 . 1. d1M0I4T PASS RD.45 <br /> Hauler Telephone Number ■ _ �iau€e���Q�97 ' Y <br /> �/.�y�}��•�/� y^[ M 6 fm F PERJURY W nE <br /> ® �, / •.G� v 17th Th=) WAS OF TF¢STME OF "M THE ` <br /> oa-u lAnO41 PROVM®A■WE6TRUE A!m CQRRL-CL <br />
The URL can be used to link to this page
Your browser does not support the video tag.