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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0522015
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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
Scanner
WNg
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EHD - Public
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tz, �'O A D —SITE '."TICKET-- � > GRID <br /> INCORPORATED f;-y ;Y3.3''2 <br /> WEIGHMASTER <br /> 9971 South Austir;Road/WEIGHING LOCATION P,O. Box 6336 <br /> 14anteca,CA 95336" Stockton, CA 95206 :v i4�CI' <br /> La ;Iftll: (209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 •DATE IN -TIME IN+ <br /> RI jurce Recovery: (209) 982-4936 Fax: (209) 465.0631 - 8 April 2004 9 : 52 am <br /> `0 0 4.3 55 5 DATE OUT TIME OUT <br /> R .r_ H EN" IRCiME NTAL o AnrL 2004 3 : 52 am <br /> • ! HENRYVEHICLE - ROLLOFF- <br /> 3 =10 SWETZER ROAD <br /> LOONIS, CA 95650 'REFERENCE: v..JL71 ORIGIN <br /> .Contract,., 4353# ' <br /> 00 Gross weight 89 , 220 . 00 LB Inhound - SCALE TICKET <br /> Stored Tare Weight 29 ,420. 00 LB <br /> €;et we_>.ight. 59 . 800 . 00 LE 29 . 90 TAY <br /> "OTV. "' UNIT-" DESCRIPTION:"..,.! ,sx<;.-:°E �."�"; - r' RATE EXTENSION - >TAX— TOTAL <br /> 29 .90 Tfi 1 • CLASS II COVER SOIL <br /> i <br /> 9 <br /> w. ;HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is <br /> :n rnis certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of DMslon 5 of the California Business <br /> and Professions Code,administered by the Division of Measurement Standards of the CalHomla Department of Food and Agriculture. <br /> ''e NET AMOUNT: <br /> TENDERED <br /> 14A.sdIFE-` #285317 <br /> CHANGE <br /> r �.. "CHECK NO <br /> DRIVER'S SIGNATURE �? `-I' -_ <br /> I <br /> 1 <br /> I <br /> 9 <br />
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