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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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`y Y <br /> t ! <br /> 4' <br /> A <br /> I � n <br /> FORWARDTICKET GRID <br /> �+a INCORPORATED SITE 151224 D-98 <br /> R9 South Austin Road/WEIGHING LGIZATION P O Box 6336 WEIGHMASTER <br /> anteca, CA 95336 Stockton, CA 95206 V. PONCE <br />�fill (209) 982-4298/WEIs GHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> urce Recovery (209) 982-4936 Fax (209) 465-0631 10/12/99 16:21 <br /> 883400 DATE OUT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 10/12/99 16:22 <br />' BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY ' <br /> STOCKTON CA 95205-2486 REFERENCE I ORIGIN <br /> $834401 MELBARIDES PETROLEUM <br /> Scale 1 Gross Weight 67680 LH Inbound - Charge tYc] et <br /> Stored Tare Weight 34644 LES <br /> Net Weight 33484 LB <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br />'• 16.54 TONS Class 11 Soil by Ton <br /> tHMASTER CERTIFICATE THIS IS TO CERTIFY Thai the followng described commodity was weighed meosu ed or counted by a weghmasier whose signature is <br /> i is certificate who�s a recognized authority of accuracy as prescribed by Chapter 7 (commencing with Section 12700)of Division 5 of the Cclifornia Business <br /> id Professions Cooe admniste,ed by the Division of Mecsurement Standards of the CoVornia Department of Food and Agnculture <br /> NET AMOUNT <br /> MANIFEST # 724220 <br /> TRUCV # 9c51014.1 <br /> P.0. # NONE TENDERED <br />' TRAILER # 1v45747 <br /> Schedule 24 hOL11-5 in advance directly with the land ill . CHANGE <br /> Call (209 )982--4298 to schedule. <br /> Drive Saf e l y I 1 + CHECK NO <br /> � recycled paper <br /> DRIVER'S SIGNATURE �� <br /> i <br />
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