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ARCHIVED REPORTS_2006_23
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4400 - Solid Waste Program
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PR0440005
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ARCHIVED REPORTS_2006_23
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Entry Properties
Last modified
7/17/2020 3:53:24 PM
Creation date
7/3/2020 10:51:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2006_23
RECORD_ID
PR0440005
PE
4433
FACILITY_ID
FA0004516
FACILITY_NAME
FORWARD DISPOSAL SITE
STREET_NUMBER
9999
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106001-3, 5
CURRENT_STATUS
01
SITE_LOCATION
9999 AUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\SW\SW_4433_PR0440005_9999 AUSTIN_2006_23.tif
Tags
EHD - Public
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NON REVENUE BILL <br />is <br />Billing and Collection <br />will be made on <br />REVENUE BILL <br />CALL LOUISVILLE ON • DELAYS • 0 <br />0. <br />MERCER TRANSPORTATION CO. <br />P.O. BOX 35610 <br />1128 WEST MAIN STREET <br />Louisville, Kentucky 40232 <br />Phone (502) 584-2301 <br />Long WATS 1-800-626-5375 <br />"10CArl -"IP4 01k DELIVERY RECEIPT <br />Trip No. <br />j1 ;� s <br />Pick-up Date <br />(Consignee's Nate and Address) <br />(Shipper's Name and Address) . <br />'i r <br />SHIPPER'S NO. BA NO PPD. or COLL. <br />Waybill dates, numbers and points of transfer of all previous carriers must be shown in this space. I.C.C. Ruling. <br />NO. PIECES <br />DESCRIPTION OF ARTICLES <br />WEIGHT <br />Dimension of Material: Height Width length <br />Release Value $5,000 per ton unless otherwise specifically stated. <br />Verified By Shipper Y.. And Consignee <br />Received the above described propethOn good condition except as noted. <br />Date of Delivery <br />Delivery Driver .- t <br />Unit No. <br />CUSTOMER ■ <br />SIGNATURE: ... <br />j f,r <br />/f <br />f <br />• <br />CALL MERCER TO MOVE <br />YOUR NEXT SHIPMENT <br />.800-626-5375 <br />NTS WILL BE HELD IF SHORTAGES <br />BEFORE <br />Date <br />Scheduled Time of Arrival <br />Day <br />Time Spotted for Work <br />Actual Time of Arrival Time Work Began <br />Person Notified Time Work Completed <br />Time Released by Customer <br />Lunch or Non -Working Periods <br />Customer Signature/Title Driver Signature <br />CALL LOUISVILLE IF CUSTOMER DOESN'T SIGN <br />Remarks <br />COPIES: WHITE - LOUISVILLE OFFICE COPY <br />YELLOW -TO BE RETAINED BY CONSIGNEE CALL LOUISVILLE ON UNUSUAL DELAYS <br />PINK - DRIVER'S COPY <br />1-800-626-5375 <br />
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