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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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FORWA D _..;.IF-, (ET' GRID <br /> I N C 0 R P 0 R A" -ED <br /> 01 11163871 D-97 <br /> 9499 Soufb Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> Manteca, CA 95336 Stockton, CA 95206 T. GRA11i <br /> Landfill- (209) 982-4298/WEIGHING LOCATION Main Office: (209) 466.4482 - DATE IN TIME IN <br /> Resource Recovery:(209) 982-4936 Fax: (209) 465-0631 1111/10/;qe 15. 16 <br /> 771811 DATE OUT TIME OUT <br /> ADVANCED BEO ENVIRONMENTAL 11''/10/1918 15:32 <br /> BILL LITTLEVEHICLE ROLL OFF <br /> 4005 N. WILSON WAY DI 1 1 1291 it <br /> STOCKTON CA 95205-2486 REFERENCE:. _ ORIGIN <br /> 771811 V�11i <br /> 1US LOCATIONS <br /> Scale I Gross Weight 72460 LB Inbound - Charge ticket <br /> Scale I Tare Weight 30580 LB <br /> Net Wei a t 41880 LB <br /> CITAX TOTAL <br /> TY. UNIT DESCRIPTION RATE il' EXTENSION <br /> 20.94 TONS Class II Soil by Ton <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured or cou6led by aweighmoster,whose signature is <br /> on this certificate,who is a recognized authority Of OCCUTCCY,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food cndlAgriculture <br /> NET AMOUNT—! <br /> MANIFEST # 668684 <br /> TRUCK # sp28170 <br /> TENDERED 1 <br /> P.0. # NONE <br /> 16 <br /> TRAILER # lvd5797 CHANGE r <br /> Schedule 24 hours in advance directly with the landfilli . <br /> Call (209 )982-4298 to Schedule. <br /> CHECK NO. <br /> Drive Safely ! ! I. <br /> F <br /> recycled paper <br /> DRIVER'S SIGNATURE <br /> 71_ <br /> E <br /> 0 <br /> F <br /> %. <br /> r"7. <br />
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