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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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J <br /> r- <br /> • r <br /> FORWARD , <br /> L+� si <br /> INCORPORATED tTICKET 151199 D--98 <br /> WEIGHMASTER <br /> 199 South Austin Road/WEIGHING LOCATION P O Bax 6336 V. PONCE <br /> teca, CA 95336 Stockton, CA 95206 <br /> fill (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> urce Recovery (209) 982-4936 Fax (209) 465-0631 10112/99 1 5: 15 <br /> 883400 DATE OUT TIME OUT <br />' ADVANCED GEO ENVIRONMENTAL 10/12/99 15: 16 <br /> BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY BACKHOE T3 <br />' STOCF+TON CA 95205-2486 REFERENCE ORIGIN <br /> 883400 MELBARIDES PETROLEUM <br /> Sole 1 Gress Weight 65480 LR Inbound - Charge ticket <br />' Stared Tare Weight 34600 LB <br /> Net Weight 3,1 LB <br /> QTY UNIT DESCRIPTION FIATE EXTENSION TAX TOTAL <br /> 15. 44 TONS Class II Soil by Ton <br /> I <br /> GHMASTER CERTIFICATE THIS IS TO CERTIFY 1hai the following described commodity was weighed measured or counted by a weighmoster whose signature rs <br /> this certificate who is a recognized aithonty of accuracy as prescribed by Chapter 7 (commencing with Section 12700)of Division 5 of the ColifornFa Business <br /> Professions Code administered by the Division of Measurement Stondords of the California Deportment of Food and Agnculture <br /> NET AMOUNT <br /> MANIFEST # 720223 <br /> TRUCK ## 9c51 o 1 O <br />' P.0. ## NONE TENDERED <br /> TRAILER # 1v05747 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209 )982--4298 to schedule. <br />' Drive Saf e l y l I CHECK NO <br /> I <br /> � l <br /> recycled paper <br />' DRIVER'S SIGNATUR - <br /> • <br /> t ,. <br />
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