My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_WELL DESTRUCTION REPORT
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
P
>
PACIFIC
>
5400
>
2900 - Site Mitigation Program
>
PR0522692
>
ARCHIVED REPORTS_WELL DESTRUCTION REPORT
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/2/2020 4:41:19 PM
Creation date
4/2/2020 2:44:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
WELL DESTRUCTION REPORT
RECORD_ID
PR0522692
PE
2957
FACILITY_ID
FA0015465
FACILITY_NAME
FORMER MONTGOMERY WARDS AUTO SRV CTR
STREET_NUMBER
5400
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10227008
CURRENT_STATUS
01
SITE_LOCATION
5400 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
70
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
POTRERO HILL d4OFIl1, INC. <br /> Weighed at; <br /> ' POTRERO HIIiS LANDFILL. INC. <br /> P.U. Box tib <br /> F.AIRFIELD, CA 94533 <br /> ' Deputy: Jaclyn Deleon <br /> BILL TO: 169 <br /> IIRC ENVIRONMENTAL SERVICE <br /> Vehicle ID: <br /> Reference: PHLF12022 <br /> Grid: 16 <br /> ' HaulCust#: ORIGIN-STOCKTO14 <br /> DriverOnY: N <br /> Route: REPLACE HANDTAG 04250 <br /> ' TRLR/LP#: 2193/9E75BO3 BIN# 3334 <br /> Origin: STOCKTON <br /> DATE IFI; 02/02/2012 TIME IN: 10:09:08 <br /> ' DATE BUT: 02/02/2012 TIME OUT: 10:09:08 <br /> INBOUND TICKET Number: 01-259402 <br /> ' MANUAL GROSS WT. 56140 LB <br /> MANUAL TARE WT. 36660 LB <br /> NET WFIGHT. 19480 LB <br /> Oty Description Amount <br /> 9.74 Profile Soil-T ADC <br /> X <br /> ' WEIGHMASTER CERTIFICATE: <br /> THIS IS TO CERTIFY that the following <br /> described commodity was weighed, <br /> measured, or counted by a weighmaster, <br /> whose signature is on this certificate, <br /> t who is a recognized authority of <br /> accuracy, as prescribed by Chapter 7 <br /> (commencing with Section 12700) of <br /> Division 5 of the California Business <br /> and Professions Code), administered by <br /> the Division of Measurement Standards <br /> of the California Department of Food <br /> ' and Agriculture. <br /> X <br /> (Deputy Signature) <br /> ' This is to certify that this load does <br /> not contain any hazardous materials, <br /> medical waste or liquids of any type. <br /> r a <br /> K <br />
The URL can be used to link to this page
Your browser does not support the video tag.