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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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,T 45 JIB d i'��}j <br /> '�`•4,tL��LiL. <br /> 5�J r^�4 rt�rt,'rat`e�a�z�,tt�1 r i✓f )tlr ,�'.�,�lt r3 'ta ^, { l l� �?'r ! , � � - <br /> rrt t 1 L\moi/♦ `�" <br /> FORWARD <br /> sITE I Tlct<Er - GRID <br /> INCORPORATED -� 0 151280 D-98 <br /> WEIGHMASTER <br /> 999 South Austin Road/WEIGHING LOCATION P O Box 6336 L, MASQUE <br /> lanteca, CA 95336 Stockton, CA 95206 <br /> Ill (249) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> arce Recovery (209) 982-4936 Aax (209) 465-0631 10/13/99 OG:41 <br /> 883400 DATE OUT TIME OUT <br />' ADVANCED GEO ENVIRONMENTAL 10/13/99 08:41 <br /> BILL LITTLE VEHICLE: ROLL OFF <br /> 4005 N. WILSON WAY LUTREL 63 <br /> STO0'TON CA 95205-2486 REFERENCE ORIGIN { <br /> 8834610 MELBARIDES PETROLEUM � <br /> Scale 1 Grass Weight 60140 LEI Inbound - Charge ticket <br />' Stored Tare Weight 3041.0 LB <br /> Net Weight 29740 LB <br /> OTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br />' . <br /> 14.87 TONS Class II Soil by Ton <br /> HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weghmaster whose signature is <br /> this certdicate who is a recognized authority,of accuracy as prescribed by Chapter 7 (commencing with Section 12700)of Division 5 of the Co4fomia Business <br />)d ProfessRons Code odm,ntstered by the Division of Measurement Standards of the California Deportment of Food and Agriculture <br /> MANIFEST # o91739NET AMOUNT <br /> TRUCK a# 9b07682 <br /> P. O. # NONE TENDEREb <br />' <br /> TRAILER # 1 Lte4540 <br /> Schedule 24 hours in advance directly wid the 1 fell . CHANGE <br /> Call (209 )982-4298 to schedule. <br />' Drive Safely ' ' CHECK NO <br /> ly'1l� <br /> lj A recycled paper <br /> tDRIVER'S SIGNATURE <br /> Y <br /> r L <br /> � t <br />
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