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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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�YicrAL,k <br /> r� 4 �r —Yr7 fS <br /> 1 <br /> l i <br /> 1 <br /> FORWARD SITE TICKET , <br /> INCORPORATED GRID <br /> D-98 <br /> 199 South Austin Road/WEIGHING LOCATION P 0 Box 6336 WEIGHMASTER <br /> Manteca, CA 95336 Stockton, CA 95206 V• PONCE <br />�dfill (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> ource Recovery (209) 982-4936 Fax (209) 465-0631 10/12/99 11 .34 <br /> 883400 DATE OUT TIME OUT <br />' ADVANCED GEO ENVIRONMENTAL 10/12/99 11 :35 <br /> BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY ,BACKHOE T3 <br /> STOCKTON CA 95205-2486 REFERENCE I ORIGIN <br /> 8834t�t:r MELBARIDES PETROLEUM <br /> Scale 1 Gross Weight 67 540 LES Inbound - Charge ticket <br /> Stored Tare Weight 34600 LP <br /> Net Weight 32940 LEI <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br />�. 16. 4 TONS Class II Soil by Tori <br /> HMASTER CERTIFICATE THIS IS TO CERTIFY That the following cescribed commodity was weighed measured or counted by a we�ghmaster whose signature�s <br /> n this certlicate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Cciifornia Business <br /> nd Professions Code administered by the Division of Measureme^t Standards of the California Department of Food and Agriculture <br /> MANIFEST # 720231 NET AMOUNT <br /> TRUCE. # 4L51C-)70 <br /> r <br /> P. O. # NONE <br />' TRAILER # 1Vti5747 TENDERED <br /> Schedule 24 hours in advance directly with th landfill . CHANGE <br /> Call (2.19 )982-4298 to schedule . <br /> Drive Safely ' ' CHECK NO <br /> DRIVER'S SIGNATURE ice,recycled paper <br />
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