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SITE HISTORY
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1267
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2900 - Site Mitigation Program
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PR0505602
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SITE HISTORY
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Entry Properties
Last modified
6/20/2019 2:29:17 PM
Creation date
6/20/2019 1:39:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
RECORD_ID
PR0505602
PE
2950
FACILITY_ID
FA0006891
FACILITY_NAME
BANK OF THE WEST
STREET_NUMBER
1267
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
11304217
CURRENT_STATUS
02
SITE_LOCATION
1267 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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Tags
EHD - Public
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SITE 'SITE <br /> TICKET11 CELL <br /> FORWARD LANDFILL .. <br /> 9999 S AUSTIN RD WEIG14MASTER <br /> CUSTOMER CA 95336 <br /> OUT <br /> 010625 V ICL?6-2015 11:24 a!,, Pd—WT i&—fjz15 <br /> CONESTOGA ROVERS & ASSOCIATES <br /> ACCOUNTS PAYABLE — PO#4076109 4 <br /> 6520 CORPORATE DRIVE BILL OF LADING –"141 i C–9 <br /> 1 4204152906 U281284 <br /> SCALE IN GROSS WEIGHT 65,260 NET TONS 12.48 <br /> SCALE OUT TARE WEIGHT 40,300 NET WEIGHT 24,960 INBOUND <br /> k;.:diTY <br /> O YD TRACKING QTY <br /> 12.48 IN SW—BENEFICIAL REUSE STOCKTON <br /> 1.0c ENVIRONMENTAL FEE I <br /> 1.00 FUEL RECOVERY FEE <br /> 91 <br /> dmmzz� <br /> C""P <br /> A I NC TENDERED <br /> INDIANAPOLIS <br /> The undersigned individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions CHANGE <br /> on the reverse side and that be or she has the authority to sign this document on behalf of the customer, <br /> CHECK* <br /> RS-F042UPR(07112) int SIGNATURE <br />
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