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226 N Main, Lodi, CA 95240 PR0516176 <br /> 09/29/2021 Program: HW <br /> PHOTO 4: <br /> Disposal records for treated wood waste found on site for December 2020 and used to calculate total hazardous waste tonnage for 2020 <br /> NORTH COUNTY RC & LANDFILL <br /> 17720 EAST HARNEY LANE NORTH COUNTY RC & LANDFILL NORTH COUNTY RC & LANDFILL <br /> LODI, CA 867-3868 17720 EAST HARNEY LANE 17720 EAST HARNEY LANE <br /> MON - SUN 7AM TO 4PM LODI, CA 887-3868 LODI, CA 887-3868 <br /> MON - SUN 7AM TO 4PM I MON - SUN 7AM TO 4PM <br /> Weighed: MELISSA <br /> BILL TO: 139 Weighed: Lara Weighed: Lara <br /> FARWEST SAFETY, INC. BILL TO: 139 BILL T0: 139 <br /> 226 N. MAIN ST. FARWEST SAFETY, INC. FARWEST SAFELY, INC. <br /> LODI CA 95240 226 N. MAIN ST. 226 N. MAIN ST, <br /> LODI CA 95240 I LODI CA 95240 <br /> Vehicle ID: 67676C1 <br /> Reference: Vehicle ID: 6767601 Vehicle ID: 6767611 3 <br /> COMPANY: JOHN ASHE Reference: Reference: <br /> PHONE #: TREATED WOOD LOAD PHONE #: JOHN ASH PHONE #: JOHN ASH <br /> LOAD #: TREATED WOOD LOAD LOAD #: TREATED WOOD LOAD <br /> Origin: LODI <br /> DATE IN: 12/22/2020 TIME IN: 10:13:30 origin: LODI Origin'. LODI <br /> DATE OUT: 12/22/2020 TIME OUT:'10:13:30 DATL IN: 12/22/2020 7lME IN: 09:01;26 DATE IN: 12/23/2020 LIME IN: OB;42:37 <br /> DATE OUT: 12/22/2020 TIME OUT: 09101:26 DATE OUT: 12/23/2020 TIME 9UT: 08;42:37 <br /> IIBl�U<(yQ TI6KETJumbeir� � 12939 <br /> INBOUND TICKET Number: 58 00532898 INBOUND TICKET Number' 58-00533185 <br /> tt OSS WT. 15160 LB SCALE 1 GROSS WT. 15 0 LB <br /> SCALE 1 GROSS WT. 15340 LB <br /> S D TARE WT. 12980 LB",, . S LE 1-G� STORED TARE WT. f, 1 -LB <br /> 2360 LB" .�.OR �ARE WT. 12980 .LB <br /> r__NET WE�HT�_.___ NEf E -HT 2180` l� `°' NET WEIGHT 2560 LB <br /> (� �tAmount mow.._ '' <br /> City. be r- n " - Amount Qty Descrip_ti'QAmount <br /> r} ' <br /> 1.18 <br /> TX RECYCL t 58:7 3 �'' Qty,.._<DVE. <br /> {}fin <br /> 1.09 T "WOOD REfYCL 55;19 1.28 TR A7 &WOD RECYCttF fi4:Q1 <br /> iI AMOUNT: ',z ,c <br /> ���5s.x4 <br /> -- T CKET AMOUNT: Av.91UQ3 '804t, <br /> i <br /> 1 I <br /> X X _ --' X <br /> VICKY VANG-LEE, EHS Page 4 of 5 <br />