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CO0053629 (2)
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CO0053629 (2)
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Entry Properties
Last modified
1/5/2022 3:03:56 PM
Creation date
1/5/2022 3:01:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0053629
PE
2546
STREET_NUMBER
0
STREET_NAME
HOWLAND
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19801028
ENTERED_DATE
4/5/2021 12:00:00 AM
SITE_LOCATION
0 HOWLAND RD
RECEIVED_DATE
4/5/2021 12:00:00 AM
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Deputy;DOMINQO R <br />Deposit: DOMINGO R <br />BILL TO: 2772 <br />ANCON SVCS(COASTAL INDUSTRIAL) <br />Ve.hicle ID: 9F89816 <br />Roference: PtiLF21335L <br />Grid: 10 <br />tAIHROP LOAD CV/LINER <br />DrIverOra: N EITIMIP PEREZ <br />Route: JO3:4001312270 <br />TRLR/LR#: BIN:8H1012 <br />urigin: LATHROP <br />DAlt. IN; 04/21/2021 TIME IN: 10:13:33 <br />OM+. OUT: 04/21/2021 TIME OUT: 10:45:53 <br />INBOUND TICKET Number: 01-01266549 <br />SCALE 1 GROSS WT. <br />SCALE 3 TARE WT. <br />NET WEIGHT <br />Qty Description <br />17.69 Profile Soil-T Disp <br />74560 LB <br />39180 LB <br />35360 LB <br />Amount <br />WEIGHMASIER CERTIFICATE: <br />THIS IS TO CERTIFY that tno following <br />described commodity was weighed, <br />measured, or counted by a weighmastur , <br />whose signature Is an this certificate. <br />who is a recognized authority of <br />accuracy, as prescribed by Chapter 7 <br />(commencing with Section 12700) of <br />DiYiSIOD 5 of the California Business <br />and Professions Code). administered by <br />the Division of Measure mint Standarde <br />of the California Department of Food <br />and Agriculture. <br />(Deputy Sf;nriitursi) <br />This is to certify that this load does <br />not contain any hazardous materials. <br />medical waste or liquids 0 ally type.
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