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SU0012346 SSCRPT
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SU0012346 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:35:44 AM
Creation date
9/6/2019 11:11:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0012346
PE
2622
FACILITY_NAME
PA-1900092
STREET_NUMBER
3858
Direction
S
STREET_NAME
MOURFIELD
STREET_TYPE
AVE
City
STOCKTON
Zip
95206-
APN
17524027
ENTERED_DATE
5/30/2019 12:00:00 AM
SITE_LOCATION
3858 S MOURFIELD AVE
RECEIVED_DATE
5/28/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MOURFIELD\3858\PA-1900092\SU0012346\SSCR.PDF
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EHD - Public
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Universal Service Recycling Inc. >i/1NIVI q?A,t <br /> 3200 South EI Dorado Street U� <br /> Stockton,CA 95206 SFRyItI <br /> Phone:209-944-9555 kFICYC LI N G <br /> Fax 209-944-5552 9 0 5 s 1 2 <br /> Web:www.usrscrap.com <br /> RC 13349 <br /> PR 147249.001 WEIGHMASTER CERTIFICATE <br /> F4830703 2/25/2019 <br /> PENG VANG Ticket# 905812 <br /> 3858 MOURFIELD AVE <br /> STOCKTON/CA/95206 <br /> 7Y61160 Ticket# 905812 <br /> 10:12:01 2/25/2019 <br /> Materia! Gross <br /> Tare Net UM Uni_ t_ PlIce D►mnunt <br /> 530-Mixed Steel 5100 4,420 680 LB ;0.0275 <br /> $18.70 <br /> Total $18'70 <br /> WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate, <br /> who is a recognized authority of accuracy,as prescribed by chapter 7(commencing with Section 12700) of Division 5 of the California Business and <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture, <br /> DEPUTY WEIGHMASTER SIGNATURE David Mendez <br /> Weighed at 3200 South El Dorado Street <br /> Stockton,Cahfomia 95260 <br /> BILL OF SALE <br /> I hereby state that I am the lawful owner of the material described hereon,that I have a right to sell same,and that a0 State redemption material listed is in <br /> fact valid State redemption material and that for payment received in full,hereby acknowledged I sell and convey title of same to: Universal Service <br /> Recycling Inc. I warrant that this material does not contain any hazardous substance as defined by the federal and/or state law,and I agree to indemnify <br /> Purchaser/Payer if this is untrue. 1 declare under penalty of perjury that the foregoing is true and correct <br /> Z <br /> HOLD HARMLESS AGREEMENT AND WAIVER OF LIABILITY Seller,customer,and driver will indemnify and hold buyer harmless from any and all <br /> liabilities,damages,and demands, including reaonable attomeys fees,resulting from breach of any warrant,to person and property hereunder and seller, <br /> customer and driver agrees to be responsible for damage to vehicle while loadingor unloading scrap materials. <br /> Seller's Signature X le-Y) h 2/25/2019 10:12:01AM Page I of I <br /> I <br /> i <br /> E <br />
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