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COPAGGF7Q (2)
EnvironmentalHealth
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I-5 AT DOWNING
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2500 – Emergency Response Program
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COPAGGF7Q (2)
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Entry Properties
Last modified
2/8/2022 3:11:15 PM
Creation date
2/8/2022 3:07:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COPAGGF7Q
PE
2546
STREET_NUMBER
0
Direction
S
STREET_NAME
I-5 AT DOWNING
STREET_TYPE
AVE
Zip
95206
APN
NEAR 17508012
ENTERED_DATE
6/30/2020 12:00:00 AM
SITE_LOCATION
SOUTH BOUND I-5 AT DOWNING
RECEIVED_DATE
6/30/2020 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\ymoreno
Tags
EHD - Public
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SITE <br />FORWARD LANDFILL -- <br />9999 S AUSTIN RD MANTECA, CA 95336 <br />'CUSTOme4889360 <br />ALL ENVIRONMENTAL SERVICES, LLC <br />***PREPAY ACCOUNT*** <br />WINTON, CA 95388 <br />Contract: 4204209754 <br />Generator:GM EXPRESSA, INC. <br />"SITE <br />Y8 <br />TICKET # 1490648 CELL <br />WEIGHMASTER <br />IN - Christina G. OUT - Kyra 1.Mlie <br />MATERMEM <br />8/18/20 1:36 pm <br />DATEMME OUT <br />8/18/20 1:51 put <br />VEHICLE <br />CENTRAL 4060 <br />CONTAINER <br />REFERENCE <br />BILL OF LADING 887921 <br />MANUAL IN GROSS WRIGHT 52,340 NET TONS 11.48 <br />SCALE OUT TARE WEIGHT 29,380 NET WEIGHT 22,960 <br />INBOUND <br />INVOICE <br /> <br />-TAX TCMNL. <br />20.00 YD Tracking QTY <br />11.0 tn SW-BENEFICIAL REUSE Origin:STOCKTON 100% <br />1.00 ENVIRONMENTAL FEE 1 <br />1.00 FUEL RECOVERY FEE <br />NET AMOUNT <br />The undersigned individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and condition <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br />h4PIA4 <br />TENDERED <br />CHANGE <br />CHECK* <br />RS-F042UPR (041191 SIGNATURE
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