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COEDRQ2NL
Environmental Health - Public
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2130
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2500 – Emergency Response Program
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COEDRQ2NL
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Entry Properties
Last modified
9/9/2021 1:46:56 PM
Creation date
2/7/2019 10:38:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COEDRQ2NL
PE
2546
FACILITY_NAME
I-5 South Onramp
STREET_NUMBER
2130
STREET_NAME
FONTANA
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
ENTERED_DATE
12/8/2017 12:00:00 AM
RECEIVED_DATE
12/8/2017 12:00:00 AM
QC Status
Approved
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ADMIN
Supplemental fields
FilePath
\MIGRATIONS\F\FONTANA\2130\COEDRQ2NL.PDF
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EHD - Public
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wwsr¢MAN"EMENT (IEIGHMASTER-Altamont Landfill & RRf <br /> 10040 Altamant Pass Road ,�4 Ticket# 12?0580 <br /> Livermore, CA, 94551 <br /> Ph: (925)455-.7300 <br /> Cu' tune) liamr PNTRIOTENV PATRIOT ENVIRONMEW Carrier GEN Altamont Generic <br /> ticket Date '01/0-5:'2018 Vehicteft 9d'38413payment. Type r:)'erlxt Account Container <br /> elan!-al Ttckekff <br /> 11111iny ti 0388801 License#{ <br /> Plan xFrltt 153e <br /> PO 11. 17 00470 <br /> I''rol'ilc G33408C:A (SDIL- EXCAVATED FROM DIESEL SPILL CLEA UFv <br /> Gene rat a) 164 -ASHTRANS A. S.H TRANSPORTATION LLC (2150 FONTANA AVE) <br /> Tire Scala Deputy Weighra%trr/ Llbotu)d Cror•s 6341141 111 <br /> In 01;05/2018. 12:.'4:51 3c.le !..I R RattrA Tare 423.0 Ib <br /> Out01/05/2016 I;.':4i•:5i• let [/�ie� Net x•1160 ib <br /> CoOGlent.. lwn rw1 <br /> Tcne 10n 58 <br /> Prnd),e$ LD% hty 0014 Rate TaK Amount Origin <br /> 1 C2DISP SPW FIIVDC.-T 100 10.517 Tuns Stockton <br /> FLM--Fuel Sm-charg 100 % Stockton <br /> P,CR-P-Regulatery a 100 Stocktun <br /> a WWId-P Waste Water 100 % Stockton <br /> 'i EVF--1--5tandKrd Env 100 1 Load Stockton <br /> Tol 11 <br /> DRIVER: <br /> WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a weighmaster, whose <br /> signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Sec- <br /> tion 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement <br /> Standards of the California Department of Food and Agriculture. <br /> 404WMCA �> <br />
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