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Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOOMIS
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2710
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2200 - Hazardous Waste Program
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PR0514271
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COMPLIANCE INFO
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Last modified
6/30/2020 10:43:47 AM
Creation date
6/23/2020 6:25:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0514271
PE
2220
FACILITY_ID
FA0010286
FACILITY_NAME
MR TRUCKER INC
STREET_NUMBER
2710
STREET_NAME
LOOMIS
STREET_TYPE
RD
City
STOCKTON
Zip
952058020
APN
17910043
CURRENT_STATUS
02
SITE_LOCATION
2710 LOOMIS RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0514271_2710 LOOMIS_.tif
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EHD - Public
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STANDARD AGREE ENT— APPROVED BY THE CONTRACT NUMBER AMNO. <br />ATTORNEY GENERAL PS -1716 <br />SM.2 (REV -55.91) <br />24th July 96 TAXPAYERS FEDERAL EMPLOYER IDENTIFICATION NUMBER <br />THIS AGREEMENT, made and entered 'auto this day of <br />in the State of California, by and between State of California, through its duly elected or appointed, qualified and acting <br />TITLE OF OFFICER ACTING FOR STATE AGENCY <br />Executive Director CA Public Utilities Commission <br />, hereafter called the State, and <br />San Joaquin County , hereafter called the Contractor. <br />WITNESSETH: That the Contractor for and in consideration of the covenants, conditions, agreements, and stipulations of the State hereinafter expressed, <br />does hereby agree to furnish to the State services and materials as follows: (Set forth service to be rendered by Contractor, amount to be paid Contractor, <br />time for performance or completion, and attach plans and specifications, if any.) <br />The Contractor agrees to Isrovide, and the State agrees to accept,`services in accordance <br />with the General Terms and Conditions of this Agreement. The Agreement period shall be <br />from July 29, 1996 through June 30, 1997 and shall not exceed $999.00 payable at <br />$78.00 per hour plus $0.275 per mile. <br />The following Appendices are hereby incorporated by reference and made part of this <br />Agreement: <br />A. Non Discrimination Clause and Statement, STD Form 17A & 19 <br />B. Drug -Free Workplace Certification, STD Form 21 <br />Continued on Attachment <br />CONTINUED ON SHEETS, EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER. <br />The provisions on the reverse side hereof constitute a part of this agreement <br />IN WITNESS WHEREOF, this agreement has been executed by the parties hereto, upon the date first above written. <br />STATE OF CALIFORNIA CONTRACTOR <br />AGENCY CONTRACTOR (if other an indfoiduet state whether a corporation, padnwah % etc) <br />CA PubliV Utili ties/ Commission San Joaquir� County <br />BY (AUTHOR IGNATUR <br />/ q <br />PRINTED NAME OF PERSON SIGNING <br />Leon D. Munoz <br />TITLE <br />Director, MSD <br />AMOUNT ENCUMBERED BY THIS <br />DOCUMENT <br />$ 999.00 <br />PROGRAM/CATEGORY (CODE AND TITLE) <br />(OPTIONAL use <br />PRIOR AMOUNT ENCUMBERED FOR <br />THIS CONTRACT <br />$ 0 <br />ITEM <br />8660-001-0462 <br />TOTAL AMOUNT ENCUMBERED TO <br />DATE <br />T 999.00 <br />�] <br />OBJECT OF EXPENDITURE (CODE AND TME) <br />405-325402 <br />I hereby cerstiY7y upon my own personal knowledge that budgeted funds <br />are available for the period and purpose of Use expenditure stated above. <br />BY <br />D <br />NAME AND <br />c <br />Dist Atty Office, 333 E. Center St 95336µi <br />FUND TITLE Department of General Services <br />URA -0462 use Only <br />Exempt from DGS review <br />and approval pursuant to <br />CHAPTER STATUTE FISCAL AR SAM 1215 <br />162 1996 96-97� <br />
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