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COMPLIANCE INFO_PRE 2020
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PR0528037
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COMPLIANCE INFO_PRE 2020
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Last modified
7/28/2020 3:48:04 PM
Creation date
4/16/2020 12:27:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2020
RECORD_ID
PR0528037
PE
2220
FACILITY_ID
FA0010542
FACILITY_NAME
Lopez Truck And Trailer Repair
STREET_NUMBER
1031
Direction
E
STREET_NAME
CHURCH
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15126035
CURRENT_STATUS
01
SITE_LOCATION
1031 E CHURCH ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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I Services Recycling ric <br />Univers. Tran No B 1230590 <br />Dorado <br />3200 South t 06 UNIVERSA, Stockton, CA 9� tERytcE pJ1111111",(209) 944-9555 EICYCLI <br />RC - 7585 � <br />R, � 1 230s ?tillOIIII <br />ERT FICATE <br />WEIGHMASTER de cribed commodity was weighed, measured, or counted by g / a wei hmaster, whop <br />b signature is this <br />THIS IS TO CERTIFY that the followin;, f accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of ['vision 5 of the Californiai <br />certificate, who is a recognized authority=tered by the Division of Measurement Standards of the California Departmt of Food and Agriculture. <br />Business and Professionals code, adminia <br />Seller 18228 <br />TELLES$VALENTIN$CHA ON --- <br />621 S BROADWAY AVE <br />STOCKTON CA 95205 <br />Commodity Gross <br />#1 & 2 Mix 9440 <br />Driver's Licence: 21 033221 () <br />Vehicle: 6D25075 <br />Tare Net Adj <br />6360 3080 0.0% <br />BILL OF SALE <br />UnitPrice UM Amount <br />$0.0800 LBS $246.40 <br />Total Payment $246.40 <br />I HEREBY STATE THAT I AM THE WFUL OWNER OF THE MATERIAL DESCRIBED HEREON, THAT I HAVE A RIGHT TO SELL SAME, <br />AND THAT FOR PAYMENT RECEI ED IN FULL, HEREBY ACKNOWLEDGE, I SELL AND CONVEY TITLE OF SAME TO USR INC. I <br />DECLARE UNDER PENALTY OF P RJURY THAT THE FOREGOING IS TRUE AND CORRECT. <br />EXECUTED AT STOCKTON, CA. T IS DATE: 5/31/2008 <br />I received from USR Inc. the amount of $246.40 <br />X_ <br />Seller's Siana ure <br />NEW LOCATION! <br />450 NORTH TOWER ROAD, MERGED CA 95340 <br />USR INC WEIGHMASTEF3�' <br />DEPUTY KIRK f <br />WEIGHED AT SS <br />SOUTH EL DORADO, STOCKTON, CALIFORNIA <br />HOLD ,RMLESS AGREEMENT. Seller will indemnify and hold buyer harmless from damages, demands and liabilities, ?ncluding reasonable <br />att c.;'s fees, resulting from breach of any warranty hereunder and driver agrees to be responsible for damage to vehicle duOg unloading. <br />CASH/CHECK Page 1 of 1 <br />j ; <br />
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