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COH34DNBK
Environmental Health - Public
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MAYBECK
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6660
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2500 – Emergency Response Program
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COH34DNBK
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Last modified
5/2/2023 1:20:18 PM
Creation date
5/2/2023 1:16:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COH34DNBK
PE
2546
STREET_NUMBER
6660
STREET_NAME
MAYBECK
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
16206001
ENTERED_DATE
6/17/2022 12:00:00 AM
SITE_LOCATION
6660 MAYBECK RD, STOCKTON
RECEIVED_DATE
6/17/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\bmascaro
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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: Ndtosha S <br />Deposit: Natasha S <br />BILL TO: 169 <br />NRC ENVIRONMENTAL SERVICE <br />Vehicle ID: 2197 <br />Reference: PH22656 <br />(3rid: 18 <br />HaulCust$1: STOCKTON <br />DriverOn7: N-ROBERT RODRIGUEZ <br />Route: NH180820-02 <br />Origin: STOCKTON <br />DATE IN: 08/22/2022 TIME IN: 13)14:52 <br />DATE OUT: 08/22/2022 TIME OUT: 14:08:19 <br />INBOUND TICKET Number: 01-01411441 <br />SCALE 1 GROSS WT. <br />SCALE 3 TARE WT. <br />NET WEIGHT <br />61240 LB <br />39260 LB <br />21980 LB <br />Qty Description Amount <br />10.99 Profile Soil-T ADC <br />X <br />WEIGHMASTER CERTIFICATE: <br />THIS IS TO CERTIFY that the following <br />described commodity was weighed, <br />measured, or counted by a weighmaster, <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 />This is to certify that this load does <br />onnt2in an,, hAlardnilQ matprialQ
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