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3500 - Local Oversight Program
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PR0544590
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/21/2019 1:50:58 PM
Creation date
6/21/2019 10:58:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544590
PE
3528
FACILITY_ID
FA0003932
FACILITY_NAME
KWIKEE FOODS
STREET_NUMBER
2081
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12315225
CURRENT_STATUS
02
SITE_LOCATION
2081 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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T ---FORWARD <br /> SCfE, '`� `. TICKET GRID <br /> INCORPORATED <br /> 9999 South AustimRoad/WkIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> Manteca,CA 95336Stockton,CA 95206 ,�T t l'1 <br /> Landfill:(209)982-4298!WEIGHING LOCATION Main Office:(209)466-4482 �:DAnJN TIME IN <br /> Resource Recovery:(209)'982-4936 Fax:(209)465-0631 <br /> 'DATE©UT: TIME OUT <br /> yy <br /> b@HICLE ROLL OFF <br /> MAN 583 <br /> ENGE ORIGIN -- - <br /> .. n ., ,._ .. ... .. ... .°117 i.:u." .. ....._ .. <br /> QTY. UMT <br /> FtipT , fifE7`'E:` EXTENSIOtV TAX —TOTAL – <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or:counted by a welghmaster,whose signature is <br /> on this certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Saction 12700)of Division 5 of the California Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> NE I AMOUNT <br /> T'IENDERED <br /> CHANGE <br /> f CHECK NO. <br /> DRIVER'S SIGNATURE <br />
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