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COUJ5T52P
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DIAMOND
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2500 – Emergency Response Program
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COUJ5T52P
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Last modified
4/27/2023 4:18:31 PM
Creation date
4/27/2023 4:14:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COUJ5T52P
PE
2546
STREET_NUMBER
801
STREET_NAME
DIAMOND
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15530003
ENTERED_DATE
12/5/2022 12:00:00 AM
SITE_LOCATION
801 DIAMOND ST, STOCKTON, CA 95205
RECEIVED_DATE
12/5/2022 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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Position Personnel Start Arrive Depart End Straight Rate OT Rate DT Rate <br />Job Notes: 1 A 15% Environmenteltner <br />1 Securities Charge may app <br />Company Name: !NIL <br />g at <br />ENVIRONIMUITAILIr <br />LOGISTICS <br />P.O. Eox 806 • Colton, CA 92324 <br />info@enyironmentallogistios.org <br />(888) 641-3940 • EPA ID# CAR000172460 <br />Bill To: <br />Address <br />City / State / Zip ! rietio r( <br />Email: <br />Phone: <br />P.O. # <br />Description <br />TRAIT;C_IPTER • <br />WO # <br />INVOICE # <br />Date r2.01 <br />Generator: <br />Address: <br />Phone: ) <br />Requested By: <br />Manifest/BOL Quantity Rate Total <br />11 <br />514918N <br />City / State! Zip ,CAr..1.45v1 <br />Site Contact: <br />OilviAlater HAZMAT , <br />AbSORBLA\I HALMK L. <br />007138604Gf. <br />00713264.:4GBF <br />-• <br />Equipment / Services / Supplies <br />Quantity Rate <br />Total <br />Total <br />It is the generator's responsibility to correctly identify chemical composition, If the <br />material is rejected by the disposal site, the generator agrees to pay all testing. <br />disposal, and transportation charges. In the event of any litigation arising from this <br />agreement, the prevailing party is entitled to reasonable attorneys fees, <br />expenses, and costs. Invoice subject to a 1.5% monthly interest rate on past due <br />amount. Your 3igna.ture acknowledges that <br />.:•11. <br />-
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