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ARCHIVED REPORTS_XR0005021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MOFFAT
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983
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2900 - Site Mitigation Program
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PR0507952
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ARCHIVED REPORTS_XR0005021
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Entry Properties
Last modified
9/16/2020 1:15:01 AM
Creation date
3/17/2020 2:01:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005021
RECORD_ID
PR0507952
PE
2950
FACILITY_ID
FA0007846
FACILITY_NAME
OLYMPIAN CFN
STREET_NUMBER
983
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95336
APN
22115006
CURRENT_STATUS
01
SITE_LOCATION
983 MOFFAT BLVD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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-L r <br /> • <br /> I <br /> . FORWARD SITE TICKET <br /> 4 INCORPORATED ARID <br /> 01 118912 D-97 <br /> 3 South Austin Road/wtIGHING LOCATION P O Box 6336 wEIGHMASTER <br /> teca, CA 95336 Stockton,CA 95206 T. GRANT <br /> andfill (209) 982-4298/WEIGHING LOCATION Main Office (209) 466 4482 DATE IN <br /> lurce Rece�en (209) 982-4936 TIME IN <br /> Fax {209)465-Ob31 01 /12/99 <br /> 745711 13:21 <br /> DATE OUT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 01 /12/99 13:33 <br /> ' BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY <br /> STOCKTON CA 9;235--2486 REF€RENCE ORIGIN <br /> 45711 BP PETROLEUM <br /> Scale 1 Gress Weight 74240 LB Inbound - Charge ticket <br /> Scale 1 Tare Weight 34280 LP <br /> Net Wei ht 39960 LB <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 19. 98 TIONS Cover Class II Ton <br /> I RASTER CERTIFEP 'Y;ZCi-,e fohowm�ceLc cec co^rnoc'y v c�v e^heo "nee,- r <br /> Ce"1''rccte Who tr C ecG nZed Cx lq c r �. '� c-Cw + cointed-,y c weg7'-ic et whC52 c,g1C'V�C IS <br /> P y cf occurocy a Lc bec.,y Chcpfei 7(cc -,e-,Cj-)2.% ^�ech0n 1270 of Drvt,on E cf the Cc'ro c c-Ui a is <br /> C ofesvo-L Cooe c;:—..)c e cc by the] coo^of I✓ecK jre"e- cnccTcc of he CC'G-c,De c-, <br /> MANIFEST # 688991 I�E7 Al IOUNT <br /> TRUCK # 9A69791 <br /> P.O. # NONE <br /> MCHANGE <br /> TRAILER # VA36(:t7 <br /> Schedule 24 hours in advance directly with the landfill .Call (209)982-4298 to schedule.Drive Safelyt I <br /> -� DRIVER'S SIGNATURE „� 1 ��recycledaaper <br />
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