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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2900 - Site Mitigation Program
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PR0530063
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2019 3:55:34 PM
Creation date
2/6/2019 3:42:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0530063
PE
2957
FACILITY_ID
FA0019769
FACILITY_NAME
FORMER SHELL GAS STATION
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
01
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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0I rai SOil Kecyclers ofCA ADE 73591 <br /> 06 Hibiscus Ave. Adelanto,CA 92301 • <br /> WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed, measured,or counted by a weighmaster, <br /> whose signature is on this certificate;who is a recognized authority of accuracy, as prescribed by Chapter 7 <br /> (commencing with Section 12700)of Division 5 of the California Business and Professional Code,administered by the <br /> Division of Measurement Standards of the California Department of Food and Agriculture. <br /> Manifest Number. A3-3859 Load#: 1 8/2417009 <br /> Generator Site Information: Welghmaster Weighed at: <br /> SHELL OIL- RIPR#79213 TPST SOIL RECYCLERS OF CALIFORNIA <br /> 3011 W BENJAMIN HOLT 12328 HIBISCUS AVE <br /> SAP#136148 INCDNT#98996188 ADELANTO, CA 92301 <br /> STOCKTON, CA 95209 <br /> Lbs Tons <br /> D Jeffrey Time in: 10:28:55 AM Gross Weight: 3800 1.90 Manual Wt <br /> D Jeffrey Time out: 10:28:55 AM Tare Weight: 1500 0.75 Manual Wt <br /> Net Weight: 2300 1,15 <br /> Truck Number: 202 <br /> Trailer Number: 214 <br /> Commodity: Non Haz -Solids <br /> Driver on Gross and Tare Transporter: AIS - RIGO <br />
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