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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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�1}```� /'it�}�al'.� Ii�rIT� i�r rr +..s+ I tY J a Y����t� r'4f 4�,.,,inti N��?rtir 7'I�S if~ i.} 4 �-r'�,,ti^r�i � r' 1 „ r �,-"4<•�' �r < r. <br />+,r�7 v � Y ray l orf , r k A,1 .,,t sir ��s a,�cr•5 ,I r t+ .� !n`r s <br /> � ( ev }rf 5n� j"� s �kn( �� � f' a 'r ✓f,ti�ri 3AB ,.r � i r ,'t �3'�r ��r 5 <br /> rr,, ,Yir i"`s t`fi ,r'"5 ';wr�;� .fy 1-}2�C„� r?.`r<}�r..�•S S�Y`r . iz�iSS114 ^ ' ; 'i �' s h - r: 4 ,rt <br /> ��L "4 j li ej h� LY \� I'4• y >�`s hrJ 4 1'7',.2! > I <br />�e.�s!'rl s �sI +"h1' 't v�~; � 'tS V,1 �,r'. <l r, �t .� +,rc y;ly_ - 4:.� - •t•r - <br /> I'�sfi�,r'' <br /> I <br /> rORWARD SITE TICKET GRID <br /> CORPORATED 01 151167 D-98 <br /> WEIGHMASTER <br /> 199 South Austin Road/WEIGHING LOCATION P O Box 6336 V, PONCE <br /> Jeca, CA 95336 Stockton, CA 95206 <br /> fl[) (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> urce Recovery (209) 982-4936 Fax (209) 465-0631 10/12/99 13:031 <br /> 883400 DATE OUT TIME OUT <br />' ADVANCED GEO ENVIRONMENTAL 101/12/99 13:012 <br /> SILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY LUTREL 63 <br />' STOCV TON CA 952015-2486 REFERENCE I ORIGIN <br /> 88340101 MELSAR I DES PETROLEUM <br /> Scale 1 Gross Weight 66880 LES Inbound -- Charge ticket <br />' Stored Tare Weight 3040101 LS <br /> Net Weight 36480 LF <br /> OTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 18.24 TONS Class II Soil by Ton <br /> IEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commod ty was weighed measured or counted by a we ghmoster 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 Department of Food and Agriculture <br /> NET AMOUNT <br /> MANIFEST # 720226 <br /> TRUCK # 9BO7682 <br /> P.O. # NONE TENDERED <br /> TRAILER # 1UE4540 <br /> Schedule 24 hours in advance directly wi tjlelndfill . CHANGE <br /> Call (209 )982-42Q8 to schedule. <br /> 1 Drive Safely ' ' <br /> 4F* <br /> CHECK NO recycled paper <br /> DRIVER'S SIGNATURE <br /> �* <br /> _ <br /> t t <br /> lisle it - _ k <br />
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