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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BECKMAN
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2900 - Site Mitigation Program
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PR0522015
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FIELD DOCUMENTS
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Last modified
2/6/2019 10:01:00 AM
Creation date
2/6/2019 9:56:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0522015
PE
2950
FACILITY_ID
FA0015207
FACILITY_NAME
SJC MOSQUITO & VECTOR CONTROL DIST
STREET_NUMBER
200
Direction
N
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04905031
CURRENT_STATUS
01
SITE_LOCATION
200 N BECKMAN RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FORBAD <br /> =J r w+Ki <br /> 'SITE GRID <br /> INCORPORATED 1 343335 <br /> _ r <br /> t.WEIGNNASTER <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 <br /> Manteca, CA 95336 - Stockton,CA 95206 <br /> La FII: (209) 982.4295/WEIGHING LOCATION Main Office: (209) 466-4482 = DATE IN <br /> Re urce Recovery: (209) 982-4936 Fax: (20§)'465,Q637 ` a.G 2'1; -;0 3 1 <br /> !=.1)3.���• , DATE OUT -+ TIME'OUT <br /> R A H KIGIRO7•IMENTA: v <br /> F L17 HENRY VEHICLE ;,. 'ROLL OFF <br /> 3.310 S?+1;`=TiL'R n. ROAD >'.f ;,;) } <br /> Irnsr'' '1` :,�'T,-,y 45l7fji} <br /> \ '-REFERENCES 'y '{ eORIGIN <br /> onty.1.ra\.:�. . 43 55'T rJ I+.lYl <br /> 00 Grass Weight 81, 500 .00 LB Inbound - SCALP TICKET <br /> ored. 'l'az'e Weight, 30 , 180 . 00 LB <br /> Mel-- 51 , 320 . 00 LB 2: . 66 Cit <br /> QTY_ r UNIT ';' ^' :1DESCFIIPTjEXTENSION TAX, <br /> 25 ,6 . Tt4 12 CLASS 13: COVER SOIL <br /> C <br /> WI iHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a welghmosfer,whose signature Is <br /> on this certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> and Professions Code,administered by the DNlsion of Measurement Standards of the California Department of Food and Agriculture. <br /> "`.TENDERED'< <br /> tlAt7.TFE1ST #265.518 <br /> CHANGE.-:( <br /> f <br /> DRIVER'S SIGNATURE <br />
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