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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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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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SITE SITE TICKS;# ` - CELL <br /> FORWARD LANDFILL -- Y8 1 1407600 <br /> 9 S AUSTIN RIS MANTECA, CA 95336 WEIGHMASTER <br /> CUSTOMER DATEITIME IN c DATF/TIME OUT <br /> 00"136 <br /> a - <br /> CALIFORNIA FISH & GAME VEHICLE CONTAINER <br /> KIM PAULSON CALIFORNIA 1 <br /> STOCKTON, CA 95206-4941 REFERENCE <br /> Contract:4 204 y8139.2-1 BILL OF LADING <br /> Generator:California Department of Fish and Wildli 5-,3094 <br /> SCALE IN (ROSS WFT(;HT 6,340 NET TONS 0.39 TNBOUNU J <br /> SCALE OUT TARE WEIGHT 5,560 NET WEIGHT 780 IPdVOT'=E <br /> QTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> (i YD Tracking QTY <br /> 0.39 to SW-ANIMAL Origin:STOCKTON 100°% <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 rend 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#f <br /> RS-r:n42UPR(07/12) SIGNATURE <br /> SITE FORWARD LANDFILL -- SITEYB TICKET# 1407600 CELL <br /> 9999 S AUSTIN RD -MANTECA, CA 95336 WEIGHMASTER <br /> Este la R. <br /> CUSTOMER U U_-'i 3 6 DATEMME IN8/23/19 11:03 a.M DATEr%RC_ 1'19 11:31 ]tn <br /> CALIFORNIA FISH & GAME <br /> KIM PAULSON VEHICLE CALIFORNIA 1 CONTAINER <br /> STOCKTON, CA 95206-4941 REFERENCE <br /> Contract:4204y81392-1 <br /> Generator:Califoxnia Department of Fish and Wildli BILL OF LADING <br /> SCALE IN GROSS WEIGHT 6,340 NET TONS 0.39 INBOUND <br /> SCALE OUT TARE WEIGHT 5,560 NET WEIGHT 780 INVOICE <br /> QTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> �. Tracking QTY <br /> 0.39 to SW-ANIMAL Origin:STOCKTON 100* <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 />
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