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Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2900 - Site Mitigation Program
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PR0515037
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Last modified
2/6/2020 12:55:41 PM
Creation date
2/6/2020 11:37:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0515037
PE
2950
FACILITY_ID
FA0012023
FACILITY_NAME
ARCO STATION #434
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
01
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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United" STOCICTON, CA 95205RY RENTAL RETURN INVOICE <br /> ♦ Rentals Swoe 209-948-9242 <br /> }ILLARD 'RQKING, Tl�iC DBA G'usvmer ;32 �i0C <br /> ARC .'S.�TE ce 4fl43$I37 002; <br /> u� C nVvice,:date �1d/ii4 <br /> Q I€ETTLF.N Sc HUT£`HI�+75 ST _ �aEe out T��Ifl JC4 <br /> ,.. :: Date art S/lo-�as <br /> 534 585Q J# 925 634 685:4 aob Loc 0LD A#CQ s�xs,, rogx <br /> ..... .TRUCICIlTG <br /> .. .: Gsdered <br /> �+ S�ILIiARD TRUCKING, I NCJ DBA s esgers a 59g <br /> I� LLARII Ter <br /> ENV ROWENTAL SER DieC 30 bays <br /> me <br /> o P Q BOK S79 <br /> PLEASE REMIT PAYMENT TO: <br /> BXRQN f94S UNITED RENTALS NORTHWEST, INC. <br /> CITY T CA <br /> _.:.[ .. - <br /> PO BOX 79337 <br /> OF INDUSTRY, 91716 9337 <br /> Qty Eq�s3pment aap -Amount <br /> 1 SKID STEER LOADER 41-50 HP * 143.00 220.00 720.00 1950.00 143.00 <br /> 603010 Make: THOMAS Model: 153 46HP Ser #: LN003298 <br /> HR OUT: 10.20 HR IN: 11.70 TOTAL: 1.50 <br /> 1 SKID STEER GRAPPLE BUCKET * 65.00 100.00 380.00 1150.00 65.0C <br /> 271691 Make: BOBCAT Model: 66 IND.GRPPLER Ser #: 477005010 <br /> 1 MISCELLANEOUS BULK INVENTORY 12.00 12.00 66.00 1040.00 12.00 <br /> #209010US CAR TRAILER <br /> 2 CHAINS <br /> 2 BINDERS <br /> SALES ITEMS: <br /> Qty Item number Stock class Unit Price Amoun� <br /> 1 ENV MCI EA .990 <br /> ENVIRONMENTAL CHARGE <br /> Sub-total: 220.95 <br /> Tax: 17.17 <br /> Total: 238.1-- <br /> R ENT AL <br /> 38.1RENTAL PROTECTION DECLINED <br /> MAY 2 2004 <br /> 'ENVIAQNdA6ITAl CNAEtG�Ther items mdtcated'aheroe ora subfeel ter:an ettvfroi matNat drarge whteh is desjgned id",reegvgr the crompanv:s d![ect and it Wt <br /> expenses for thft#tandkng tnaerugmg end <br /> Cispnsirvtwastaproducts:hazetducrsmatenat9,;andrelatttd;edtmntstrattveeasts TPostsrwragavernrientntatdatadcharge <br /> FUEL•fuel cisarges do ttof iiicftrde:fedaf,atatc:ai:locakfeietaxase#axes: >. <br /> OVtiONALffE3VTAtppQilCzIQF[>'lAN Tlrft OTC A4 pTfCTrONPLaAtTSNbTiAfSL7tiiNCEr Uponaecephn9;ftp C�piiontllRefttdl arofeetwitPlan 101'' tgftf...reestopayacharge:equalto <br /> 96'.of t3trrefxafcharges on EgWCE?aemGttstaitiefutartsa.covared by the ffepasf:vrotntsion:Plan ihxetutrw asaet:ofst ori the:fxack QageUrHtarl sorsa;r0 waaeenairt cEa�ms faraeadegtal Aamage;fc <br /> cat eyed fgi,rpmertt dccupng during nacmaf::and cafe{,rJ Asa G tsXotrtr t r�A7ai 1 It.(&aN tfarrtages aftd Pass dub sa'fheft ftstad:iii e' The:RenEaf fOtet'ngR Plait prar,s+o[f? to the Telms anc <br /> Condit wts as tiac[c page ricfu�ng Ctistsrrnee s rre9hgeruca EYist'ornetAic; is j Cu3Pa7ftet;i�pylu►a4.<{ <br /> READ-BEFOR E/G/W/VG-United hereby:tsasea to-Cubfomer itia L-gtsipet�ei�L f8a de5"ned ra ttts:-7`erms and Clinchtrons ori ttts raters�sistef anG Cltstarrrer iter aeeepta all:Y�RIIP$R74t:7�GON©IT-10115'1'rste0 <br /> in:�thia�rert[al agreemertt:indudmg the berms artd:Conditians aet tortfx:ort Ehe traverse stds,..wik4 ihe..undarstgned tial reed-enc�tndersta'ZZ FlemlIgLlEtf .;13_Ratas da not stcfuda tuel a det"riery.;[2l <br /> C1a2ionA1 RetttsF$tcecudrr:RFan eharg4' t 496 oE;tfw carat rental tttarge rat tbve[sG;attu4tntenF:t3f Ciistaner pays for aN wne;Mia�t iE uLA;k"ct t SattMdeya.§i ifdays arid: ys [4!':Tho <br /> reiitai agreameni:supwr edea.alf afhe.um—fi—ase orders or tarots and coAditiarts eantmrred ur.any of CustotnCr s agreert+dtts oi>tprtays (file Lu3tbfttet assumes etk_ia1c otic to respansiDle;tbr al cfama4es:ard <br /> at{ier:costs ifiefudittg late cltarg Is of the atYove as:wap as atrisr of>tigafivns and;iespotisttr7mes a e:tgrttairied in fire TI7iMS APif]::CONt7c Ns nN REV$LS Tiff IND1VlE1UAL'SIGn11HG.8BOW <br /> AS OR ' OF Ct1ST�JMEFF Gt f AGfEEES TO-ALL OPTFfE TF1tM5 AND CONOFTIONS ON THk REVERSE SLOE OF THI&fiENTAL AGgEBWENT {y]ACKNOWLEDGES RECEIPT OF THE <br /> tiQA01lo <br /> ...... SGD NO f 1$FULLYFAiNEIfARYInTH tis OP!<ifA �JSE <br /> X ""/ � <br /> -- <br /> CUSTOMER Na7LiRE DATE <br /> BATE. NAfiAE PRIIITEO .]kLIYEREII <br /> A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST. <br />
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