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CO1Q6R9ZC (3)
Environmental Health - Public
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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2500 – Emergency Response Program
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CO1Q6R9ZC (3)
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Entry Properties
Last modified
11/20/2024 9:23:02 AM
Creation date
1/5/2022 2:54:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO1Q6R9ZC
PE
2546
STREET_NUMBER
0
STREET_NAME
STATE ROUTE 88
City
LODI
Zip
95240
APN
NEAR 05126025
ENTERED_DATE
6/5/2021 12:00:00 AM
SITE_LOCATION
0 HWY 88
RECEIVED_DATE
6/5/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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POTRERO HILLS LANDFILL, INC. <br />Weighed at: <br />POTRERO HILLS LANDFILL, INC. <br />P.O. Box 68 <br />FAIRFIELD, CA 94533 <br />Deputy: Natosha S <br />Deposit: Natasha S <br />BILL TO: 2772 <br />ANCON SVCS(COASTAL INDUSTRIAL) <br />Vehicle ID: 07-P96701 <br />Reference: <br />Grid: 18 <br />HaulCustli: VOC 1.4 <br />DriverOn?: N JESUS ALVARADO <br />Route: JO8:4001333251 <br />TRLR/LPil; W.LINER <br />POTRERO HILLS LANDFILL, INC. <br />Weighed at: <br />POTRERO HILLS LANDFILL. INC. <br />P.O. Box 68 <br />FAIRFIELD, CA 94533 <br />Deputy: Jaclyn Deleon <br />Deposit: Natasha S <br />BILL TO: 2772 <br />ANCON SVCS(COASTAL INDUSTRIAL) <br />Vehicle ID: 07-XP96701 <br />Reference: PHLF21594L <br />Grid: 18 <br />HaulCust#: LODI LOAD W/LINER <br />Driver00: N-JESUS ALVARADO <br />Route: J08#4001333251 <br />TRLR/LP#: 1109 <br />Origin: LOW <br />DATE IN: 07/26/2021 <br />DATE OW: 07/26/2021 <br />TIME IN: <br />TIME OUT: <br />12:12:49 <br />13:53:46 <br />Origin: LODI <br />DATE IN: 07/26/2021 <br />DATE OUT: 07/26/2021 <br />TIME IN: 08:40:28 <br />TIME OUT: 09:11:34 <br />INBOUND TICKET Number: 01-01294300 <br /> INBOUND TICKET Number : 01-01294162 <br />SCALE 1 miss WI. <br />SCALE 3 TARE WT. <br />NET WEIGHT <br />62040 LB <br />36900 LB <br />25140 LB <br />SCALE 1 GROSS <br />SCALE 3 TARE W <br />NET WEIGHT <br />WT. <br />T. <br />48440 LB <br />37460 LB <br />10980 LB <br />Oty Description Amount <br />12.57 Profile Soil-T Disp <br />Oty Description <br />5.49 Profile Soil-T Disp <br />Amount <br />X <br />WEIGHMASTER aRTIFICATE: <br />THIS IS TO CERTIFY that the following <br />described commodity wa:- weighed, <br />measured, or counted b; d weighmaster, <br />whose signature Is on MI ,-ertificate, <br />who is a recognized aothw ;!. of <br />accuracy, as prescribed by Chapter 7 <br />(commencing with Section 12700) of <br />Division 5 of the California Business <br />and Professions Code), adninistered by <br />the Division of Measurement Standards <br />of the Califorrith Department of Food <br />and Agriculture. <br />X <br />(Deputy Signai:,e) <br />WEIGHMASTER CERTIFICATE: <br />THIS IS TO CERTIFY that the following <br />described commodity was weighed, <br />measured, or counted by a waighmaster, <br />whose signature is on this certificate. <br />who is a recognized authority of <br />accuracy, as prescribed by Chapter 7 <br />(commencing with Section 12700) of <br />Division 5 of the California Business <br />and Professions Code), administered by <br />the Division of Measurement Standards <br />of the California Department of Food <br />and Agriculture. <br />X <br />(Deputy Signature) <br />X
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