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CO0051599
Environmental Health - Public
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EHD Program Facility Records by Street Name
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26 (STATE ROUTE 26)
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16644
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2500 – Emergency Response Program
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CO0051599
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Last modified
11/20/2024 8:49:40 AM
Creation date
3/3/2021 2:46:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0051599
PE
2546
STREET_NUMBER
16644
STREET_NAME
STATE ROUTE 26
City
LINDEN
Zip
95236
APN
10509001
ENTERED_DATE
2/10/2020 12:00:00 AM
SITE_LOCATION
16644 E ST RT 26
RECEIVED_DATE
2/10/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SITEFORWARD LANDFILL -- 'SITEY U I TICKET s 1446113 CELL <br /> 9999 S AUSTIN RD -MANTECA, CA 95336 WEIGHMASTER Kyra Marie B. <br /> CuSToME DATE/TIME IN2/14/2 0 8:34 am DATE(TILVI�PVT 2 0 8:55 am <br /> P S C <br /> ACCOUNTS PAYABLE VEHICLE PSC 305030 CONTAINER <br /> STOCKTON, CA 95203 REFERENCE P.O. #178-2001-0002-J0109 <br /> Contract:4204Y911178 <br /> Generator:PG&E eILLOFLADING 6001211 <br /> SCALE IN GROSS WEIGHT 47,220 NET TONS 7.93 INBOUND <br /> SCALE OUT TARE WEIGHT 31,360 NET WEIGHT 15,860 INVOICE <br /> 10.00 YD Tracking QTY <br /> 7.93 to SW-CONT SOIL Origin:LINDEN 100% <br /> �ax <br /> ET If <br /> ,,•� � cam; '� <br /> TENDERED <br /> The undersigned Individual signing this document on behalf of Customer acknowledges that he or hese n dersfe a the4" do a CHANGE <br /> on the reverse side and that he or she has the authority to sigh this document on behalf of the Gust ✓ <br /> CHECK# <br /> RS-F042UPR(07/12) SIGNATURE <br />
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