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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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FORWARD i �D-98 <br /> SITE TICKETGRID <br /> INCORPORATED 01 151185 <br /> WEIGHMASTER <br /> 99 South Austin Road/WEIGHING LOCATION P O =fox 6336 V, PONCE <br /> Ifeca, CA 95336 TStockton, CA 95206 TIME IN <br /> -4482 DATE IN <br /> 11 (209) 982-4298/WEIGHING LOCATION Main Office (209) 466 <br /> source Recovery (209) 982-4936 fax (209) 465-0631 10/12/99 14: 14 <br /> 883400 DATE OUT TIME OUT <br />' ADVANCED GEO ENVIRONMENTAL 10/12/99 14 : 15 <br /> BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY LUTREL 63 <br /> STOCKTON CA 95205-2486 REFERENCE ORIGIN <br />' <br /> 883400 MELBARI DES PETROLEUM <br /> Scale 1 Gress Weight 63400 LB Inbound - Charge ticl et � <br />' Stored Tare Weight 30400 LB <br /> Net Weight 33000 Lb <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 16. 50 TONS Class II Soil by Tan <br />'EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by o weighmaster whose signature is <br /> n this certificate who is a recognized authority of accuracy as prescribed by Chapter 7 (commencing with Section 12700)of Division 5 of the California Business <br /> Professions Code administered by the Division of Measurement Standards of the California Deportment of Food and Agriculture NET AMOUNT <br /> MANIFEST # 720217 <br /> TRUCE. # 9BO7682 <br /> 1 TENDERED <br /> P.0. <br /> # NONE <br /> TRAILER # IUE4540 <br /> Schedule 24 hours In advance directly wi the andf� ll . CHANGE <br /> Call (279 )982-4298 to schedule. <br /> 1 Drive Safe l y l l (,s,, CHECK No <br /> 1 DRIVER S SIGNATUFi� <br /> 1 <br /> 1 <br /> i <br /> 1 + <br />
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