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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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� vi� r rl lull <br /> p' SITE a":..TICKET GRID - <br /> INCORPOR �' LED 01 11 41S' D-97 <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 { " ' WEIGHMASTER <br /> Manteca,CA 95336 Stockton, CA 95206 T. 3RANT <br /> Landfill:(209) 982-4298/WEIGHING LOCATION Main Office:(209)466-4482 a DATE IN TIME IN <br /> Resource Recovery: (209) 982-4936 Fax:(209) 465-0631 1 1''/10/,'98 16:22 <br /> 771811 0 .- DATE OUT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 11!r/fa/98 16.39 <br /> BILL LITTLE __"4} VEHICLE ROLL OFF.. <br /> 4005 N. WILSON WAY DILL 891 iI <br /> STOCKTON CA 95205-2486 REFERENCE s ORIGIN <br /> 771811 I� VARI US LOCATIONS <br /> p <br /> Scale 1 Gross Weight 74080 LB Inbound - Change ticket <br /> Scale 1 Tare" Weight 30680, LB <br /> Net Wei ht 43404 LB i <br /> OTY.- UNIT DESCRIPTION RATE. 10 EXTENSION TAX' . TOTAL <br /> 21 .70 TONS Class II Soil by Tenn <br /> I' <br /> ii <br /> It <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,jor counted by a weighmoster,whose signature is <br /> on this certifkcaie,who is a recognized authority of accuracy,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 and Agriculture. <br /> MANIFEST # 57971 NET AMOUNTF <br /> TRi # SF2808+6 <br /> P.O. # NONE V TENDERED <br /> TRAILER # 1VH3529 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE I <br /> Call (209 )982-4298 to schedule. <br /> Drive Safely ! ! it CHECK NO. j <br /> DRIVER'S SIGNATURES—� -- i�recycled Asper <br /> - II <br /> !i` <br /> ii <br />
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