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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0538714
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/9/2020 2:15:13 PM
Creation date
10/9/2020 2:41:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0538714
PE
2220
FACILITY_ID
FA0022229
FACILITY_NAME
California Department of Fish and Wildlife
STREET_NUMBER
2109
STREET_NAME
ARCH AIRPORT
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
17731020
CURRENT_STATUS
01
SITE_LOCATION
2109 ARCH AIRPORT RD STE 100
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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ATE FORWARD LANDFILL sIrY8 TicxET1150848 CEII <br />` 9999 S AUSTIN RD -- WEiGHMASTER <br /> MANTECA, CA 95336 Alexis M. <br /> CUSTOMER <br /> 0TEffiME IN pATEIIIME OUT <br /> 002136 02-26-2016 10:26 am 02-26-2016 10:50 an <br /> CALIFORNIA FISH & GAME VEHICLE CONTAINER <br /> M PAULSON CALIFORNIA 1 <br /> X09 ARCH AIRPORT RD. STE. 100 REFERENCE <br /> INVDICE <br /> 4 2 0 4 y 81.3 9 2—1 BILI OF LADING <br /> 18.08822 <br /> SCALE IN GROSS WEIGHT 6, 420 NET TONS 0.29 <br /> SCALE OUT TARE WEIGHT 5, 840 NET WEIGHT 580 INBOUND <br /> QTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 5.00 YD TRACKING QTY <br /> 0.29 TN SW-ANIMAL STOCKTON <br /> 1.00 ENVIRONMENTAL, FEE 1 <br /> 1.00 FUEL RECOVERY FEE <br /> TENDERED <br /> The undersigned Individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions CHANGE <br /> on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br /> CHECK# <br /> RF-042UPR(07112) SIGNATURE <br /> SITE FORWARD LANDFILL SITE TICKET# CELL <br /> 9999 S AUSTIN RD 1150848 <br /> WEIGHMASTER <br /> MANTECA, CA 95336 Alexis M <br /> CUSTOMER DATE/TIME IN DATEITIME OUT <br /> 0021.36 02-26-2016 10,26 am 02-26-2016--- 11:50 air-- <br /> CALTFORNTA <br /> - - <br /> CALTFORNTA FISH & GAME VEHICLE CONTAINER <br /> KCALIFORNIA 1 <br /> IM PAULSON <br /> REFERENCE <br /> 2109 ARCH AIRPORT RD. STE. 100 INVOICE <br /> 4204y81392--1 � � ZG <br /> SCALE IN GROSS WEIGHT 6, 420 NET TONS 0.29 <br /> SCALE OUT TARE WEIGHT 5, 840 NET WEIGHT 580 INBOUND <br /> CITY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 5.00 YD TRACKING QTY <br /> 0.29 TN SW-ANIMAL STOCKTON <br /> 1.00 ENVIRONMENTAL FEE 1 <br /> 1.00 FUEL RECOVERY FEE <br /> a <br /> TENDERED <br /> The undersigned individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions CHANGE <br /> on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br /> CHECK# <br /> 901 <br /> RS-F042UPR(07112) SIGNATURE <br />
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