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ARCHIVED REPORTS_XR0004956
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MOSSDALE
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444
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3500 - Local Oversight Program
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PR0545585
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ARCHIVED REPORTS_XR0004956
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Entry Properties
Last modified
9/16/2020 2:05:33 AM
Creation date
3/19/2020 3:30:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004956
RECORD_ID
PR0545585
PE
3528
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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-- <br /> EN. <br /> U, <br />�s rf <br /> FORWARD <br /> INCORPORATED sere TICKET GRID <br /> � 151227 D-98 <br /> 99 South Austin Rpad/WEIGHING LOCATION P O Boz 6336 WEIGHMASTER <br /> anteca, CA 95336 Stockton, CA 95206 V. PONCE <br /> Landfill (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> source Recovery (209) 982-4936 Fax (209) 465-0631 10/12/99 16: 42 <br /> 893400 DATE OUT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 10/12/99 16: 43 <br /> BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY LUTRE <br /> STOCF`TON CA 95205-2486 REFERENCE ORIGIN <br /> 8834t-WIN 1"1ELEiAFIDES PETROLEUM <br /> Scale 1 Gross Weight 71600 LO Inbound - Charge ticl-et <br /> Stored Tare Weight 30400 LSI <br /> Net Weight 41200 LR <br /> CITE' 7TONSClass <br /> DESCRIPTION RATE EXTENSION TAX TOTAL <br /> . 20. II Soil by Ton <br /> WASTER CERTIFICATETHIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature is <br /> his certificote who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br />-id Professions Code administered by the Division of Measurement Standards of the California Depa-tment of Food and Agnculture <br /> MANIFEST # 091738 NET AMOUNT <br /> TRUCK # 9b07682 � <br /> P.O. # NONE l <br />' TRAILER # 1LIe4540 TENDERED <br /> Schedule 24 hours in advance directly wit he l ndfill . CHANGE <br /> Call (209 )982-4298 to schedule . <br /> Drive Safelyll 1 <br /> �if lel CHF1 <br /> ll <br /> 4M <br /> DRIVER'S SIGNATURE <br /> i <br /> ii <br />
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