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CO0054015 (2)
Environmental Health - Public
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2500 – Emergency Response Program
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CO0054015 (2)
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Entry Properties
Last modified
2/8/2022 1:58:36 PM
Creation date
2/8/2022 1:46:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054015
PE
2546
FACILITY_NAME
FORWARD LANDFILL
STREET_NUMBER
9999
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106003
ENTERED_DATE
7/8/2021 12:00:00 AM
SITE_LOCATION
9999 S AUSTIN RD
RECEIVED_DATE
7/8/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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City State Vehicle <br />Number <br />Zip Code 2)) rI Fnmmenm) Ccrl Tel No <br />CHARGES <br />IF, Corn.: <br />tice 0^1v) <br />7 <br />07/09/2021 10:59 Record ID C00054015 Carol Presto, EHS FROM: <br />Shipper <br />Street <br />City <br />De Code State <br />ERICAN LABELMAIRK COMPANY - CHICAGO, IL 60846 37171738-DAP <br />FREIGHT CHARGES ARE PREPAID ON THIS BILL OF LADING UNLESS MARKED COLLECT. oto <br />STRAIGHT BILL OF LADING <br />shipper No. <br />ORIGINAL — NOT NEGOTIABLE Carrier No. <br />7 Date 11 q <br />Letters 'COLT most Isnlors n earn'as oloorroce ortorieedOltern 430, Sec <br />E - <br />(Name at carrier) <br />(SCA CI <br />Page —1 of <br />Olt cored on Delivery shipments <br />TO: <br />Cons. • nee <br />Street <br />Route <br />No of Units <br />Container Type <br />BASIC DESCRIPTION <br />UN or NA Number. Proper Snipping Name. Hazard Class. Pacxwo <br />TOTAL QUANTITY <br />(WeignI Volume. <br />pallor.. etc.) <br />oll.motr _ <br />PLACARDS TENDERED: YES 0 <br />NO O <br />Net <br />WM,. he ' a decor.° on value b <br />to ns...b <br />Or wrong cre .yeen)daCta 0 mIon 0 eA taws) To <br />tOt <br /> aere,..4 0, <br /> c.d.. Yoramu prey,,e0y. hereby slats? by 11. WOW. <br />sol <br />. <br />121 Whore Osa appibob. <br /> arra.un 0,1-0.0 barbell WAN etreset <br />a roloasa of a value. docImaCron try Ine P.Opor nfl MB 010. <br />1 <br />hetbdt1)0 oockare a vows. ito corners lioodrti braIl Cn Wood lo the OM. <br />to,:s.1.1 by Skris p.basbns See !AOC re. <br /> IN <br />C,Gallmodilles requtrog special or abbbsboa, ca <br />.;: 5n.eLdibg Os 1173 <br />13 <br />AO.. loam col me comems of ors <br />contoponeo a. ant nersuraL.Ly <br />rksocresea above tly co proper Incong <br />name onO sec OI.A01.1. paoCAged, <br />marledend <br />in al meows'prcpor CONSIlen tor <br />Inmworl moving lo sppbabw. <br />Irtentenenil end nolienal govornmeetal <br />Signature <br />COD <br />d „.„,, Saabs -I0.5 mbbasso s na o <br />1b. <br />wino. wouns on leo cocoon°, Lao sws. Ms. oar, Lm <br />Ann.. <br />To roma Owe <br />root .5.c. dafope cm woprn.eo onto poynOt <br />Imabb a. calso law. Mopes <br />(5,11.• 01 Cana., by MY as, <br />button and m oar, . at, .1. I....1'n. b,b <br />O <br />be perlormed woman 1r to sots.. Lo•Inn trl toOeg Oem a0000cns to <br />c.""nor <br />d:toreltotot ne o larrolor LON Iteto Lorana amt. or. <br />am'ortorN cLosnscolion End Ms ssed Nome me cone.. <br /> rename, Ir.' <br />o_ncoteo tice noosed ord ros stows_ <br />CARRIER <br />SHIPPER
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