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ARCHIVED REPORTS XR0012550
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LODI
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851
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3500 - Local Oversight Program
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PR0544084
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ARCHIVED REPORTS XR0012550
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Entry Properties
Last modified
2/1/2019 4:45:32 AM
Creation date
1/31/2019 4:31:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012550
RECORD_ID
PR0544084
PE
3500
FACILITY_ID
FA0005447
FACILITY_NAME
LODI READY MIX & BLDG MATERIAL
STREET_NUMBER
851
Direction
E
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
851 E LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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TMorelli
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EHD - Public
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.[� r 6 r i MON., <br /> 5 <br /> 0 <br /> � I <br /> Please Pay From This ExA43/7- "5 5 <br /> T L03 l- R£dII�Y tt�1CInvolce. Statement ' �-u <br /> 0 F 0 80X 3 will not be sent <br /> Ea� Lam[.•-�� ""95Z�! I'_--- ``-` -- - unless roquenled. o?/,tb'I go <br /> s i '` --_....._. _ _ _.1J 1,..Y�Ir�a►P+Ytvr.� ., DATE <br /> JIM THORPE OIL, INC. <br /> rDl.c. <br /> ce <br /> R -77 <br /> 351 N. Beckman Road• P.O. Box 357 l <br /> r-- - _-- _ �r 7 Lodi, California 95241.0357 <br /> c __ Telephone(209) 366•Ft"5,(209)462.4581 'A�— <br /> Inlheeventofon,legalcclionorilllamionlo-foretO+InlmlprelanytermOrcpndi•IYon Of Lhls t lafmant,It 11 mooted belo,sen Lhe W1241 Iha!Jim Thorpe 011oneContractor's License No.495699-1-911 rmCO.eF from the CrafOmmf On demand Jim af,orpe Oil,IIIC's,raaldnmbie al• <br /> lolneYe'low&and CaeI1 lecuned In such lige!aclFpnSellcng plIcol include appllcabla stale,fad--.and localJim Thorpe Oil,Mc.9gwea 10 a9mume and pay when duo all b-ea foo ohlch It Is liable.Teim provided herein are acknowledged and agreed t0. Jim Thorpe ON,inC.Cre01[loFmsre041fapsymanldleachinrolcf lO he l6calrfd by tha mppllcmblennrlc■not m0 paid atale Chalppeo! ioom• ks <br /> - V p0undod monthly will bs Imposed m1 nplot. I In notice prerlousty seal, <br /> Mdse,Roe'd By/\„—^-,- — -.__— — _- payment due lain piOrimo unless lAYO'cm 9pecltios other lermm. ---�— <br /> AutnOr4a0 Reprf Ienlallro Cash <br /> OUR ORDERriO, YOUR 0 NO. 5ALE5WARj -TEAMS- -ryjpFEO YU 0Et1YERED pA <br /> I � Totat <br /> Collected <br /> Y Px4S. CdN'T. DESCRIPTION PRICE <br /> FLAMABLE LIQUID UN1203 <br /> REGULAR GASOLINE <br /> FLAMABLE LIOUID UN1203 ----- ”--- — —' f <br /> PREMIUM UNLEADED GASOLINE _ <br /> FLAMABLE LIOUID UN120S � - �'• --- ---- <br /> UNLEADED GASOLINE <br /> REGU ASR DIIES LOFUELUID NAt993 <br /> - 97" ./5/ <br /> The above indicated discount may be taken off in- <br /> voice total provided payment for this invoice is <br /> IN OUR OFFICE SALESTAX , <br /> .. <br /> E Second BYSUB TOTAL <br /> T Ffra' Repo fl Daifvered Returned Not Change <br /> A Oeflvere�i I <br /> I INUOICETOTAL f 1 <br /> � i 1 <br /> I <br />
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