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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�S +� k��i ✓,+ ! 4, 4 r2 t� f;,7� ;-r =.r 1, i�r'/ �h! �t1E tS �h r tA, 5 r` s <br /> r , 1 }t:`r,tau e s r+"� :.,w r 1n q ti (�. °cf:std y�t ti rl' ,rr�r�'� i ,r m {v <br /> ?� r 7 f''s' � S i r t'r, t Ir i�`5 1�i i ��` rr <br /> �,. I <br /> '•� ST �� t-}� Cr1�. „` r w�R'{ ,�,'1 '4,1 i`SL err `�;i1r' i4 ' r" 3 i I,r t � � v-s r'r. F r`� t ti r, W,y s,� ' { <br /> ih,k <br /> a <br /> A- <br /> it- <br />'� 1Y J' � 3 F 3 r,ts -t , �. s•! , L f!5 'c 1 LLi, , ` \4 . � . yw,� <br /> Y <br /> Al ice`L <br />�, _5L{r r ^i 1`t 'y ~ -- 4 ` — _y —���,Lc !rc r �` _ _ � '�✓ , t <br /> ^ � � FORWARD 1 SITE TICKET GRID <br /> INCORPORATED O 151162 D-98 <br /> 199 South Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER, <br /> Itieca, CA 95336 Stockton, CA 95206 L . MARDUEc- <br /> flll (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 12:5o <br />' <br /> 11e21400 DATE OUT TIME OUT <br /> ADVANCED GED ENVIRONMENTAL 10/12/99 12:50 <br /> BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY Rarll.,wnr T5 <br />' STOCKTON CA 95205-2486 REFERENCE ORIGIN <br /> 88341:0 MELPARIDES PETROLEUM <br />' Scale 2 Gross Weight 60500 LB InbOL(nd - Charce ticket <br /> Stored Tare Weight 33721 LB <br /> Net We x ah t 26780 LES <br /> OTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 13.3 TONS Class II Soil by Ton <br />%IiMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmosier whose signature is <br /> this certYficaie who is a recognized authority of occu acy 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 # 721227 <br /> TFUCF' # 9A93261 <br /> P . O. # NONE TENDERED <br /> TRAILER # 1WD9397 <br /> Schedule 24 hOul-s in advance directly with the landfill . CHANGE <br /> Call (209 )982-429E3 tin schedule . <br /> Drive Safely 1 l CHECK NO <br /> recycled paper <br /> I DRIVER'S SIGNATURE <br /> i <br /> I �e <br /> t � F`r P..\�rl ' '2 ' r,y+'�ll2tt I t ih �t a4 �1^1 •i \` ' j'; r <br />
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