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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2900 - Site Mitigation Program
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PR0515037
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Last modified
2/6/2020 12:55:41 PM
Creation date
2/6/2020 11:37:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0515037
PE
2950
FACILITY_ID
FA0012023
FACILITY_NAME
ARCO STATION #434
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
01
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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i Vrril.t UCrVI(51UJ 4/y-7 J11U <br /> s <br /> Dillard Trucking, Inc. dba. SHIPPING ORDER <br /> 111mronmenta[Ser*es FREIGHT BILL <br /> ENTERED PO Box 579 <br /> Byron, CA 94514 10632 <br /> Telephone No. (925)634-6850 <br /> Z-� Facsimile No. (925) 634-0569 <br /> Date- A6 .0 J 112 JOB JOB NUMBERS(S) JOB NUMBERS(S) JOB NUMBERS(S)TRUCK / J TRAILER # # �— z- # �� # <br /> NO. ` �] N0. <br /> SUB. # # # # <br /> HAULER <br /> PRIMECARRIER CONS[ EE /? <br /> GENERATOR(S) D �TINATION Yo <br /> I CJn b�GK�� + <br /> CITY EGINNING MILEAGE ENDING MILEAGE <br /> MATERIALS OADING UNLOADING FUEL-GALLONS FUEL-VENDOR <br /> #1 #2 #1 #2 <br /> MANIFEST YARDS OR TIME IME TIME TIME <br /> NO NO. WEIGHT ARRIVE LEAVE ARRIVE LEAVE <br /> 2 t 7 lo.'� ll'A ► 'nl <br /> r OFFICE USE ONLY <br /> q TNS/HRS/LDS/YDS <br /> 5 TRANSPORTATION UNITS: + <br /> lu <br /> g _ ", TRANSPORTATION RATE: <br /> 7 SUBTOTAL: <br /> e <br /> DISPOSAL UNITS: <br /> 10 ' DISPOSAL RATE: <br /> 11 �� Q SUBTOTAL: ; <br /> 12 11tj s <br /> 13 BRIDGE-TOLL: <br /> COMMENTS: 66Z L �? MATERIALS: <br /> o erl i2 <br /> STAI� STOP p DEDUCT NET <br /> 7 �"- S-i/SJ P) TIME TIME O <br /> DRIVER 4a is — / <br /> RECEIVED DATE APPROVED BY TOTAL CHARGES: $ <br /> TERMS and CONDITIONS <br /> Payment terms are net thirty(30)days subject to a charge of 1.5%per month on all past due balances.In the event the account becomes delinquent and it is necessary to institute <br /> legal proceedings,CUSTOMER agrees to pay DES'attorney's fees incurred in such proceeding,action or suit or In any appeal thereon.The parties agree that actions or <br /> proceedings arising in connection with this agreement shall be tried and litigated exclusively in the courts located in Contra Costa County.Califomia. <br />
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