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SR0080011
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080011
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Entry Properties
Last modified
4/24/2019 2:52:04 PM
Creation date
4/24/2019 2:35:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080011
PE
4221
STREET_NUMBER
19365
Direction
S
STREET_NAME
MCKINLEY
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24141017
ENTERED_DATE
12/19/2018 12:00:00 AM
SITE_LOCATION
19365 S MCKINLEY AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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DAfonskaia
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EHD - Public
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Site Address: 19365 S. McKinley Ave, Manteca Record ID SR0080011 <br /> Date: 1/4/2019 <br /> PHOTO# 1 Septic Tanks Concrete Disposal Receipt. <br /> i <br /> it <br /> 1 <br /> WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy,as prescnbed by Chapter 7 <br /> (commencing with Section 12700)of Division 5 of the California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agnculture. <br /> j . <br /> TERMS: NET 30 <br /> k` 096997 <br /> i •fixT i'1. <br /> i Dz. . _. -_ .. <br /> 00 f....P T:; <br /> _Dut;r:u 61Crr3.'..,T i TlL <br /> ! r'��rC:" T�,IL' L� i_'ir;:i �,:.r✓sJ <br /> i <br /> ll <br /> I <br /> + nyn!^I-� }. <br /> 1 t�_ r i.i rL -'r .'�':'r {!G ! 1:—. 23. 35 f k 0 0 <br /> it <br /> 0 a? ''110 <br /> y : <br /> KAP <br /> 4 <br /> A— <br /> (�iErSIGNATUFkE " DEPUTY EIGHNIASTER SIGNATURE Printec on recycled paper <br /> CPVIMSTR4 <br /> Daria Afonskaia, Environmental Health Assistant Page 1 of 1 <br />
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