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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0544128
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Last modified
2/11/2019 3:38:53 PM
Creation date
2/11/2019 3:23:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544128
PE
2955
FACILITY_ID
FA0005614
FACILITY_NAME
RYDER TRUCK RENTAL
STREET_NUMBER
1700
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14325005
CURRENT_STATUS
02
SITE_LOCATION
1700 N BROADWAY AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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' THIS IS TO CERTIFY that the following described commodity was welghed.measmed.or counted by a weighmaster,whose signature is On this cedificate.who is a recognized authority of accuracy.as Prescribed <br /> Chapter 7(commencing with Section 12700)Of Division 5 Of the a Business and Professions Code administered by the Division of Me ent Standards of the California Department of Food and Agriwgurt <br /> LIQUID WASTE MANA ENT, INC. — WEIGHMASTER �J770 <br /> -. STAR ROUTE BOX 4 • McKittrick, CA 93251 <br /> (805) 762-7366 <br /> WEIGHING LOCATION: If Waste Is Weighed It is100% Nonhazardous <br /> ' HIGHWAY58,1/4 MILE WEST OF HIGHWAY33 caoss / <br /> McKITTRICK, CALIFORNIA <br /> TARE �_-i DEPUTY .. <br /> DATE TIME WEIGHT IN LBS. BY <br /> rGROSS DEPUTY <br /> L. :•I"' '•I1. L':. ' 1:..1:.I" ( i !' I. Y.:.f.:.i»I TARE WEIGHED FO /,SELLER v <br /> NET DELIVERED BUYER / <br /> ,� • �! TONS DijIV 1 ` <br /> ' Vt'✓til[/VEHICLE LIC.NOS. TRAILER LIC. TRAILER LIC. COMLIODITY UNITS I B/L NO. <br /> plv51; <br /> CARRIER T y f / li F D ❑ <br /> EE ❑ P CHG $ <br /> ' LIQUID WASTE SITE SCREENING RESULTS <br /> ' �MANAGEMENT, INC. Approval No --;- - ��,�L- <br /> Color Sulfides(�J' - Cyanides-L pH <br /> ' Flash Pointe— Specific Gravity �/ Layers <br /> ' Free Liquids� 7I- Other q <br /> Signature`s 7gig ��CL' l' Date -31- ';2 9 -{ <br /> t <br />
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