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COUPZIBCT
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ROTH
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2500 – Emergency Response Program
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COUPZIBCT
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Entry Properties
Last modified
9/24/2025 2:53:45 PM
Creation date
9/24/2025 12:37:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COUPZIBCT
PE
2546 - Release/Spill Response (excluding Joint Team)
STREET_NUMBER
1000
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
ENTERED_DATE
6/25/2018 12:00:00 AM
CURRENT_STATUS
Closed
SITE_LOCATION
1000 E Roth Road
RECEIVED_DATE
6/24/2018 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
1000 E Roth RD FRENCH CAMP 95231
Tags
EHD - Public
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IeanHar6o' • IINVOICE <br /> Invoice No 1002430561 <br /> �2Lonsweerfhlve <br /> P.O.Baz 94t9 <br /> Norwell,MA 02061-9M9 <br /> REMIT TO: OFFICE: <br /> Clean Harbors Env,Ssrvrces Clean Hwt>•us Envuonrnental Servwes,Inc. <br /> PO Box 3442 2550 Del Mc4{ate S1 <br /> Boston,MA 02241-&142 Wee1 Saaamento.CA 9589, <br /> (918}520--20 <br /> 1{';[XI ri of F.rt}':7;.dtfti.:C.Tti+T•,,zrr/f�5 r,;t.c'3F,�p s'C•{;FC{Ycu'G✓fk+rf� <br /> Ent'Burnell JOB SITEIGENERATOR: <br /> Patriot Environmeniaf Services TwUO-t Transport <br /> PO Box 1091 1000£Roth Road <br /> Long Beach.CA 90801 •000 Lwhrco,CA 95231 <br /> LIN:04-2698999 <br /> Job Description:Drum Shipment •'Payable In USD fundsLast Service Date Invoice " <br /> No Order Purchase Order <br /> 09,10 2018 1002430561 PA000020 71 1803399518 F'Oti•18.00225 Net 30 Days <br /> _.........1..---------'-----.------------..I...... .....; <br /> SUMMARY BY UNE TYPE <br /> DisposFrl <br /> S102.00 <br /> Faes $23.63 <br /> Tranjs itaticin S0.00 <br /> E•Mandesl Fee $10.00 <br /> SUBTOTAL $135,83 USD <br /> TAX S0.00 USD <br /> INVOICE TOTAL $135.83 USD i—PLEASE PAY THIS AMOUNT <br /> DUE DATE 26 Aug 2010 REMIT PAYMENT BY <br /> DescriptionManifest Item 10 <br /> Info <br /> Qty UOPAGty UON1 <br /> 00 Jul 2018 <br /> 015482315J.IK DISPSL? Debris Conlamrnafedw-'HydraubcCni 1 Oki 1.000 55DNl 102.0000 0102.00 <br /> 1 CNO CH167&107 <br /> FEE-DOWN California Hazurdotrs Waste Landfill Fee 0.070 T 23.2900 51 63 <br /> (State Haz of ASbeslos) <br /> FEE-DOW$J Kern County Hazardous Vitiate Fee 76.500 {:b 0.1000 S7.65 <br /> HUBTRANS Freiyhi to mai-ieSiFd vispoeal facility 1,000 EA 0.0063 $0.00 <br /> EMANIFEST E-tdanrtest Fee 1.000 EA 10.0000 $10.00 <br /> FEE Recovery Fee 121.260 EA 0.1200 $14.65 <br /> SUBTOTAL $135-83 <br /> TAX $0.00 <br /> TOTAL S135.83 <br /> tsre5l wi'I be chafpsvj et a rate of,.5^;Ger moMh fp{all pact dub amoonte. <br /> Invoice Date:26 Jul 2018 PLEASE RETURN A COPY OF INVOICE WITH PAYMENT•THANK YOU Pace 1 of 1 <br /> _ I <br />
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