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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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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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F 0RWARD.. t CYRib_, <br /> INCORPORATED 0114 489 <br /> Mi? <br /> 9 South Austin Road/WEIGHING LOCATION P.O. Box 6336 <br /> NCY <br /> Manteca,CA 95336 Stockton,CA 95206 ' <br /> , <br /> fill:(209)982-4298/WEIGHING LocnTloN Main Office:(209) 466-4482 4 � °'zTfw1E'10fi, •= J" <br /> ource Recovery:(209) 982-4936 Fax:(209) 465-0631 E9 August 20C2 3:40 0 p m <br /> ATLANTIC RICHFIELD CO. 29 August 2°712 3:40 pm <br /> '? uEt1iCEE � 't. ROLL: FF <br /> PAUL SUPPLE .- G/2#F i 6 , r <br /> P.O. ESC X. 51177I L 391 <br /> BUENA PARK, CA 90622 <br /> Contract: 2317# LCD! <br /> 100 Gross Weight 69, 140',,,J LE. Inbound - SCALE T1C1-'ET <br /> Stored Tare Weight 21 ,200<:11j LB <br /> Net Weight 3"7,c°,4 '- _if? LEr 18.= N <br /> = QTY.;'. ='.`UNIT {_." DESCRIPTION r.r ,. Ft 4TE zr::> EXTENSION TAX TOTAL,i <br /> 18.97 TN 12 CLf-i' 5 I ? Cf]VER 0I`:- <br /> thHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is <br /> is certificate,who a recognized authority of accurecy,as prescribed by Chapter 7(commencing with Section 12700)of Division S of the California Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> NET AMOUNT <br /> TENDERED <br /> 1 <br /> CHANGE <br /> CHECK NO. <br /> DRIVER'S SIGNATURE <br /> ----------- <br /> i <br /> 1 <br />
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