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COEDRQ2NL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\F\FONTANA\2130\COEDRQ2NL.PDF
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EHD - Public
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vWn <br /> WASTE MANAGEMENT WEiGHMASTER-Altamont Landfill R RRF Original <br /> 10940 Altamont Pass Road Pi)cket# 12 .0516 <br /> Livermore, CA, 94551 <br /> Ph: (925)455-7300 <br /> Cuitooer Name PATRIOTENV PATRIOT ENVIRONMEN Carrier GEN Altamont Gereric <br /> Ticket Date 01/05/2013 Vehicle# 9498418 <br /> Payment Type Credit Acedunt Container <br /> Manual Ticket# <br /> Billing It 0388801 Licensell <br /> Manifest 11- 17-00470- <br /> PO 11- 17-00470 <br /> Profile 67,3408CA (SOIL EXCAVATED FROM DIESEL SPILL CLEAN LIP) <br /> Generator 164 ASHTRANS A.S.H TRANSPORTATION LLC (2150 FONTANA AVE) <br /> Time Scale Deputy Weighmaster Inbound Gross 58740 ib <br /> In 01/05/2018 10:00:56 Scale 3 I J Schaeuffler Tare 38120 Ib <br /> Out,01/05/2018 10:42:22 3calel InbJ Schaeuffler Net 20620 lb <br /> Tons 10. 31 <br /> Comwent� <br /> Product I_D;: Dty UOM Rate Tax Amount Origin <br /> 1 C2DISP SPW HIVOC-T 100 10. 31 Tons Stockton <br /> 2 FUEL-Fuel Su charg 100 % Steckttin <br /> 3 RCR-P-Regulatory C 100 X Stockton <br /> 4 WWM-P-!taste Water 100 Stockton <br /> 5 EVF-L-Standard Env 100 1 Load Stockton <br /> I Total Tax <br /> DRIVER: G J y ��-r �- <br /> r rt— <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 �2 <br />
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