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Environmental Health - Public
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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22107
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3500 - Local Oversight Program
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PR0545634
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Last modified
11/19/2024 4:01:48 PM
Creation date
5/4/2020 12:48:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545634
PE
3528
FACILITY_ID
FA0007065
FACILITY_NAME
BENEFICIAL CALIFORNIA
STREET_NUMBER
22107
Direction
E
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320
CURRENT_STATUS
02
SITE_LOCATION
22107 E HWY 120
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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ice, e <br /> SHIPPING ORDER <br /> E81 sRdFREIGHT BILL <br /> EPA #CA0Qi69E9 -i �ILLAR` b TRUCKING, <br /> Harardoui'Waste Hauler-#1715 i 53538 <br /> - P.O. eox 218 <br /> Date / Y ,� 1s BYRON, CA 94514 <br /> TRUCK /�', TRAILER (510) 66850 <br /> TYPE OF LOADING <br /> {/d 34 <br /> NO. —_. 1_Li— NO. 0 BUNKER ❑13ELT <br /> SUB. ArPOWER 0 HAND <br /> HAULER <br /> PRIME ,JOB CONSIGNEE <br /> CARRIER NO. ` t <br /> SHIPPER 4� DESTINATION <br /> 1 <br /> POINT CITY 'CA 4naq�e <br /> OF ORIGIN Y <br /> CITYE P.O. NO,' t•... : .c. . <br /> MATERIALS ' FUEL No.01 Axles ONE WAY MILEAGE <br /> LOADING UNLOADING <br /> MANIFEST YARDS ORIIME TIME TIME TIME Truck Type <br /> NO NO. WEIGHT ARRIVE LEAVE: ARRIVE LEAVE GAL. <br /> p/ TIME STAR7E1)LASI LOAD-- <br /> I` � 1. � Q i � �.• i <br /> TIME AfInIVED 10 DUMP LASS LOAD— <br /> NET RUNNING TIME LAST LOAD— <br /> 3 O(o O L <br /> TIME FINISHED DUMP LAST LOAD— <br /> 4 <br /> TIME ALLOWED TO RETURN,SAME <br /> 5 AS NET RUNNING TIME LAST LOAD— <br /> 6 OFFICE USE ONLY <br /> 7 TOTAL HOURS OR TONS <br /> 6 RATE PER HOUR OR TON $ <br /> 9 SUBTOTAL_ $ <br /> 1¢ SUR CHARGES $ <br /> 11 <br /> 12 <br /> 13 11 r�4 <br /> 14 <br /> 15 SALES TAX $ <br /> 16 BRIDGE FARE $ <br /> 17/ <br /> START STOP DEDVCT NET <br /> TIME TIME TOTAL CHARGES $� -1 <br /> DRIVER RECEIVED APPROVED - DATE /�`I S <br /> BY (BILLING— <br /> RECEIVED B DATE APPROVED BY APPROVED DATE <br /> (PAYROLL). <br /> MAKE DELIVERIES INSIDE THE CURB LINE AND ON THE LOT AT THE CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY FOR DAMAGES RESULTING FROM SUCH DELIVERIES. <br /> ALL BILLS DUE AND PAYABLE BY THE 10TH OF THE MONTH.A 1112%PER MONTH CHARGED ON PAST DUE ACCOUNTS.TRIS IS AN ANNUAL <br /> PERCENTAGE RATE OF 161.6.CUSTOMER WILL BE RESPONSIBLE FOR ALL COURT AND ATTORNEY COSTS FOR COLLECTION, <br /> SIERRA OFFICE SUPPLIES 6 PRINT ING 19161 369-0491 <br /> Control No.- <br /> ACOPY OF THIS SHEET MUST ACCOMPANY EVERY LOAD,AND MUST BE SUBMITTED AT THE GATE FOR ENTRY, <br /> ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE. DELIVERIES MUST BE SCHEDULI~D-ON <br /> A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br /> i <br /> WHI'TE-FACILITY CONY YFI-LOW.TRANSPORTER COPY PINK-GENFRATOR COPY <br />
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