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CO0054834
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2500 – Emergency Response Program
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CO0054834
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Entry Properties
Last modified
11/19/2024 10:36:08 AM
Creation date
8/3/2023 9:54:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054834
PE
2546
STREET_NUMBER
0
Direction
S
STREET_NAME
I-5
City
LATHROP
Zip
95330
APN
NEAR 19125014
ENTERED_DATE
4/21/2022 12:00:00 AM
SITE_LOCATION
SOUTH BOUND 5 AT ROTH ROAD
RECEIVED_DATE
4/21/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\bmascaro
Tags
EHD - Public
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-11 <br />Address 0 SI-5, Lathrop Record ID 000054834 <br />Date: 6/10/2022 Program: ER <br />PHOTO 2: <br />Bill of Lading obtained from All Environmental Services. One 10 yard roll-off (#2133) to be shipped to Fairmeacl 1 Liiidn11 <br />STRAIGHT BILL OF LADING - SHORT FORM <br />A- . soul T-3841 L3841. 3843 <br />STRAIGHT BILL OF LADING - SHORT FORM ht() 1.1t1 <br />iippurs i31 I lalat &An, riiuLerials must. enter 244iour emergent') .1.11.,11. 13114g/hut lo number awlet <br />"Fmergency Response Phone Number Original—Not Negatiabte <br />Ll <br />Destination <br />\--Az-L-- <br />et Garner) <br />FRONI: <br />Shipper -A tatkii 4o0/ <br />Date <br />Bill of Lading No <br />Shipper No - <br />Carrier No <br />E55 /it <br />Route <br />No <br />Shipping <br />Units <br />Kind of Packaging. Description of Articles Ca.Wn.d". .peow "d50" ar =ran .nns="h <br />Special Marks and Exceptions """"9"'"4bs:L""wiror=a,..R.9,,,c,...i„uon. 360 <br />A 1111111111111111111111111 <br />1111111111111.1111111111111111 <br />11111111111111111111111111111 <br />1111111111111111111111111 <br />11111111111111111111111111 <br />1111111111111111111111111 <br />sobieeeto Sectioh 7 ot tha condthens. it this arapinent eta 138 tlaltvered W the consignee wtchout <br />ae the consignor. the Consignor shell ash the following statement.. <br />tPie ettLiffieet *Sheet parent of lreight end all other <br />Kristina Saetern, EHS Page 2 of 2
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