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ARCHIVED REPORTS XR0004302
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0544686
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ARCHIVED REPORTS XR0004302
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Entry Properties
Last modified
7/23/2019 11:53:14 AM
Creation date
7/23/2019 11:24:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004302
RECORD_ID
PR0544686
PE
3528
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
02
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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FORWARD <br /> INCORPORATED , 1 2421]80 <br /> 9999 South Austin Road/w c u1NG LOCATION P 0 Boz 6335 <br /> Manteca,CA 95336 Stockton,CA 95206 ARIA S <br /> Landfill (209)982.4298/WEIGHING LOCATION Main Office-(209)466-4482 <br /> Resource Recovery (209)982-4936 Far(209)465-0631 21 .June 2003 8;27 am <br /> 003432 <br /> SECOR 21 June 2043 8;27 am <br /> JAFF AUCHERIONIE <br /> 3017KILNGORE ROAD STE 100 T MAN M5 <br /> RANCHO CORDOVA, CA 95671 k" " <br /> Contracts 3432# MANTECA <br /> Bross Weight 88,620.00 LEI Inbound -- SCALE TICKET <br /> Stored Tare Weight 31 ,800.00 L8 <br /> Net Weight 56,820.00 LB 28.41 TN <br /> 28.41 TN 1 5T0 I LE <br /> I <br /> I, WEIGHHIASTER CIRTIFICAA THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature is <br /> on this certmcate who Is a r�ecognked authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of DNrision 5 of the Callfornia Business <br /> and Professlons Code administered by the DMsIon of Measurement Standards of the Calfomia Department of Food and Agriculture <br /> MANIFEST #225111 <br /> qtr � <br /> i <br /> a <br /> s <br /> DRIVER'S SIGNATURE <br /> i <br />
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