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CO0055093
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2500 – Emergency Response Program
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CO0055093
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Entry Properties
Last modified
3/7/2023 4:09:48 PM
Creation date
3/7/2023 4:07:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0055093
PE
2546
FACILITY_NAME
UNION PACIFIC, CORPORATION ETAL
STREET_NUMBER
0
Direction
E
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
15130006
ENTERED_DATE
8/2/2022 12:00:00 AM
SITE_LOCATION
E HAZELTON AVE & AURORA ST
RECEIVED_DATE
8/2/2022 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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POTRERO HILLS LANDFILL, [NC. <br />Weighed at: <br />POTRERO HILLS LANDFILL, INC. <br />P.O. Box 68 <br />FAIRFIELD, CA 94533 <br />Deputy: DOMINGO R <br />Deposit: DOMINGO R <br />BILL TO: 2853 <br />PATRIOT ENVIRONMENTAL SVCS <br />Vehicle ID: P85 <br />Reference: PH22740 <br />Grid: ' 18 <br />HaulCust#: 11.722A00543 <br />DriverOn7: N BALDO VDAZOUE2 <br />Route; STFICKTON <br />TRLR/LPir:4'014556-001 <br />Origin: STOCKTON <br />DATE IN: 10/29/2022 TIME IN: 08:34:03 <br />DATE OUT: 40/29/2022 TIME OUT: 08:59:35 <br />INBOUND TICKET Number: 01-01432113 <br />SCALE 1 GROSS WT. 45700 LB <br />SCALE 3 TARE WT, 38320 L8 <br />NET WEIGHT <br /> <br />7380 LB <br />Qty DescrIption' Amount <br />3.69 6 & D .Ions Disposal <br />X <br />WE1OHMASTER CERTIFICATE: <br />THIS IS TO CERTIFY that the following <br />described commodity was weighed, <br />measured, or counted by a weighmaster, <br />whose signature is on this certificate, <br />who is a recognized authority of <br />accuracy, as prescribed by Chapter 7 <br />(commencing with Section 12700) of <br />Division 5 of the California Business <br />and Professions Code), administered by <br />the Division of Measurement Standards <br />of the California Department of Food <br />and Agriculture. <br />X <br />(Deputy Signature) <br />This is to certify that this load does
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