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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 S ���..�..,;. t r ��_7 4 ID _ <br /> F <br /> INCORPORATED - <br /> Ll <br /> South Austen Road/wEIGrIINc iocATloN P O Box 6336 - n `wEIGHMASTE Fi <br /> rr <br /> a, CA 95336 Stockton,CA 95206 <br /> L (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 <br /> s rce 8ecove72209) 982-4936 Fax (209) 465-0631 <br /> I TIME�4L►e= <br /> 9,113V ACED GEC ENV 1 F�uNMENTAL 1 A i - l _ _ <br /> T 1'_1_ LITTLE= <br /> -�.kE ' s `£, - ,ROLL4NOEFsN- , <br /> 1 �F005 N. W I L3C+r i WAY <br /> 3TOCF TGN CA 95205-24I36 r EREIvc1 _ et n '—ORIGIN' ,4 - <br /> I�a , <br /> mac ?e 1 Gross Weight 72340 IL 1-hciw-A — Charcie tici• et <br /> -wed Tare Weicht 33140 LB <br /> Net We i ch t _ 38200 LE <br /> + - 444 <br /> DES RI . ION S RATE *'VV9EXTEN5EONr 4�`,TAX`S �� "I`;TOTAL s <br /> I <br /> I <br /> FEIGHMAMR CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature Is <br /> this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division S of the California Business <br /> d Professions Code_administered by the Division of Measurement Standards of the California Department of Food and Agricutiure <br /> NET AMOUNT- <br /> 9C 1 4e <br /> MOUNT9C14e£ 78 <br />' <br /> P .0 it NONE �-l"-[ V T D F L} <br /> TENDERED <br /> chLcivIe 24 hOUrs 7_r- Advance directly with the lafrdri7i , <br /> CHANGE <br /> F'r�l t l�4_1�15���--�c�� to schedule. <br /> CHI=CK NO <br /> DRIVER'S SIGNATURE � <br /> I <br />
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