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ARCHIVED REPORTS XR0009874
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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95
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2900 - Site Mitigation Program
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PR0516185
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ARCHIVED REPORTS XR0009874
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Entry Properties
Last modified
11/19/2024 10:19:01 AM
Creation date
8/12/2019 1:19:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009874
RECORD_ID
PR0516185
PE
2950
FACILITY_ID
FA0012496
FACILITY_NAME
FORMER RESTAURANT
STREET_NUMBER
95
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23313027
CURRENT_STATUS
02
SITE_LOCATION
95 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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FORWARD SITE TICKET GRID --� �— <br /> `►� INCORPORATED011 E34721-r <br /> ' <br /> F <br /> South Austin Road/WEIGHING LOCATION P O Box 6336 `" - T WEIGHMASTER <br /> ca, CA 95336 Stockton, CA 95206 C CARSAJAL <br /> L (209) 982-429b/WEIGHING LOCATION Main Office (209) 466-4482 -DATE IN TIME IN <br /> .e rce Recovery (209) 982-4936 Fax (209) 465-0631 11 /Oc) /t:)0 <br /> i.1oo 15" DATE OUT < _ TIMEOUT <br /> ADVAN�`ED GEE ENVIRONMENTAL 1 1 /C)(- 0 9; +)t y <br /> 2 I LL LITTLE r VEHICLE ROLL OFF —_ <br />' <br /> 4C'()5 N. WILSON WAY `f '7 <br /> STCICF i'oN ;', 9ff 2(-)E—e-+86 x, " REFERENCE ORIGIN <br /> 1 <br /> 17-17 HAf L MURRAY <br /> Scale r G1-0--S WEtgI.1t 71141) LB If.bo1irid -- Chai-q-e tj,:Fei= <br /> Net Weight 37990 Lr_-1 <br /> QTY J «U N I T 4, 1 9Y'-- r U DESCRIPTION RATE s "EXTENSION TAX iOF"G <br /> 1 B. r� -!"ONS C1 asp 1 1 Stw� ] i � TL-1r <br /> i <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by o weg`masrer urlIoSe s'n-it a <br /> this certificate who�s a recognozed authority of accuracy as prescribed by Chapter 7(commencing with Section 12700 of Divison 5 o th C-Iifomia°:ane s ' <br /> d Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agricu ture l <br /> MANIFEST # ;, ' 4 1 C-6 <br /> TPI:...lCi Yg 7A329e5P .C. # NONE FIRLIV I DEE � = <br /> SCr"1ae..dUle 24 hours .ri ad` ince C.#11 eCCti,, With the ) ar'CfIll . _—_ <br /> rI 1 <br /> =4 C <br /> .)rave Safely ---' T <br /> f <br /> IDRIVER'S SIGNATURE <br /> I <br /> I <br /> 1 <br /> I <br />
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