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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 /> INCORPORATED1 242113 <br /> 9999 South Austro Road/wEIGHING LOCATION P O Box 6336 <br /> Manteca,CA 95336 , _ Stockton,CA 95206 ARIA S <br /> w <br /> Landfill:(209)9824298/WEIGHING LOCATION Main Office-(209)466-4482 t ;- <br /> Resource Recovery (209)982.4936 Fax-(209)465-4631 1 June- d0 ( 1. 11akm <br /> 003432 WI!, , <br /> SECOR 21 June 2003 i r7: 1 1 am <br /> JAFF AUCHERIONIE <br /> ,g417KILNGORE ROAD STE 100 ARRERA 50 <br /> RANCHO CORDOVA, CA 95670 �v ; rte' «• <br /> Con traic t r 3432#fi MANTECA <br /> 40 Gross Weight 88,900.00 LB Int ound — tCALE TICKET <br /> Stored Tare Weight 32,200.00 LB <br /> Net Weight 56s 700.00 LD 28.35 TN <br /> 28.35 TN 16 STOC ILE <br /> i <br /> WEI6HMASTER CERIIRCATE THIS IS TO CERTIFY That the fotowing described commodity was welghed measured or counted by a weighmaster whose signature Is <br /> on this certilcate who is a recognized authority of accuracy as prescMbed by Chapter 7(commencing with Secflon 12700)of Division 5 of the Cailfomia Business <br /> and PtofeWons Code administered by the DMslon of Measurement Standards of the California Department of Food and Agriculture <br /> r <br /> MANIFEST #225117 <br /> i <br /> DRIVER'S SIGNATURE <br /> ------------------------------------------- <br /> s • s <br />
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