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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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PR0508009
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Entry Properties
Last modified
5/20/2019 2:18:46 PM
Creation date
5/20/2019 1:35:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0508009
PE
2957
FACILITY_ID
FA0007882
FACILITY_NAME
ARCO #760
STREET_NUMBER
225
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04314058
CURRENT_STATUS
01
SITE_LOCATION
225 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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• <br /> SITE t <br /> WA V t) <br /> TICKET GRID <br /> FOR <br /> INCORPORATED <br /> wEIGHMASTER <br /> ------------- <br /> South Austin Road/WEIGHING LOCATION $tOOCictOn,CA 95206 TIME IN <br /> nteca,CA 95336 DATE IN <br /> III:(209)982-4298/WEIGHING LOCATION Main <br /> xn(209)465?063166-4482 <br /> �rce Recovery:(209)982-4936g17E OUT TIME OUT <br /> � r :r te ! EVEHICLE :€ ROLL OFF <br /> F 1'f'LArl . i .r.,_ rix <br /> Sl !PPM E7 Tr <br /> ORIGIN <br /> 'r <br /> �, k • <br /> - �L a <br /> r -i"E1-; -.• " - <br /> 6c? C)31 t <br /> =y e^S i r isr^•t t W e; <br /> ' r <br /> TOTAL <br /> ETENSION <br /> 3 IT <br /> .01 <br /> 1,8 9 <br /> HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is <br /> his certificate,who is a recognized authority of accuracy,as prescnbed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> rnd Professions Code,administered by the Division of Measurement Standards of the California Department of food and Agriculture. NET AMOUNT <br /> TENDERED <br /> CHECK NO: <br /> DRIVER'S SIGNATURE <br />
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