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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0506390
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Last modified
5/6/2019 1:33:42 PM
Creation date
5/6/2019 1:22:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0506390
PE
2950
FACILITY_ID
FA0007389
FACILITY_NAME
MINI STOP
STREET_NUMBER
244
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
13708014
CURRENT_STATUS
01
SITE_LOCATION
244 W HARDING WAY
P_LOCATION
01
QC Status
Approved
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EHD - Public
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rUKVVAXU <br /> INCORPOR �ED 1iiiiiish18 D-97 *,w <br /> 9999 SoA Austin Roa44EIGHING LOCATION P.O.Box 6336 :8: ^•`fi`rA4VYE aHMASTER' ': : ;",: ".':. <br /> Mudeca,'CA 95336 Stockton,CA 93206 T. GRANT <br /> La ift(209)982.4298/WEIGHING LOCATION Main Office:(209)466.4482 DATE IW- ,, TwEIR ;.., <br /> Ramrce Recovery:(209)9824936 Fax:(209)465-0631 11/10/98 12 t 07 <br /> 771811 :,: DATE OU7 TIME ouT x <br /> ADVANCED GED ENVIRONMENTAL 11/10/98 i2f117 <br /> HILL LITTLE rn=HIcl£-., <br /> 4005 N. WILSON WAY DILL 891 <br /> STOCKTON CA 95e05-2486 REFERENCE 7 ORIGIN <br /> 771811 VARIOUS LOCATIONS <br /> Scale 1 Gross Weight. 73920 LB Inbound -- Charge ticket <br /> Scale 1 Tare Weight 30740 LB <br /> Net Wei ht 43180 LB <br /> QTY:; V-tlHt z" ' ; x:' _- > �F'TIDN" �: "._ RATE,: EXTENSION TAX TOTAL <br /> 21 .59 TONS Class II Soil by Ton <br /> WIXIMMM CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmoster,whose signature Is <br /> on this cerffflcot6,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the CaOfomio Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> NET AMOUNT <br /> MANIFEST # 668679 <br /> TRUCK 4# SPe8086 <br /> P.O. # NONE TENDERED <br /> TRAILER 0 i VH35e9 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call. (209)982-4298 to schedule. <br /> Drive Safe 1 y E ! CHECK NO. <br /> 021 + > PePe1 <br /> DRIVER'S SIGNATURE i� <br />
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