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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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5112
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4700 - Waste Tire Program
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PR0523821
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COMPLIANCE INFO
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Entry Properties
Last modified
11/19/2024 3:47:17 PM
Creation date
1/17/2020 2:23:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0523821
PE
4740
FACILITY_ID
FA0013538
FACILITY_NAME
FTG CONSTRUCTION MATERIALS
STREET_NUMBER
5112
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242
APN
05516061
CURRENT_STATUS
02
SITE_LOCATION
5112 W HWY 12
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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CField
Tags
EHD - Public
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• <br /> onfinentd WIL N WAY TIRE CO., A1C. <br /> REMIT TO:Z U.S. Tire Sales & Service <br /> WILSON WAY TIRE (01) 221 N. WILSON WAY (02) 2211 N. WILSON WAY 05 1133 W. 11TH ST. <br /> 148 N.WILSON WAY ( ) <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 STOCKTON, CA 95205 TRACY, CA 95376 <br /> (209)242-3048 • FAX (209) 5 3051 (209) 465-0281 (209) 466-2581 (209) 835-4087 <br /> BAR #AA002949 BAR #AF184429 <br /> (21)2600 YOSEMITE BLVD. (23) 1915 NATIONAL AVENUE (24)6530 FRANKLIN BLVD. <br /> MODESTO, CA 95354-4030 HAYWARD, CA 94545-1709 SACRAMENTO, CA 95823 <br /> (209) 571-5612 (510) 887-1282 (916) 395-2245 <br /> BAR #AA107508 BAR #AF167037 - <br /> ALL PARTS NEW UNLESS OTHERWISE NOTED. RETAIN OLD PARTS YES❑ NO❑ <br /> Customer agrees to all terms and conditions contained on the reverse side of this Document. X , <br /> (SIGNATURE) <br /> I acknowledge notice and oral approval of an increase in the original estimated price. X <br /> SOLD TO: _. '. _. .r. ' (SIGNATURE) .,,. <br /> SHIP TO: <br /> CUST. PO. # MAKE-MODEL PLATE MILEAGE TELEPHONE ROUTE SLM SHIP VIA ORDER# PAGE REMARKS <br /> INVOICE DATE INVOICE PREVIOUS SHIPPED TERMS ❑CASH ❑Mcg [:]MONEY ❑DAYTON <br /> NUMBER INVOICE NUMBER <br /> ❑CHECK'fl AMEX ' ❑DISVR ❑NAT. <br /> ACCT, <br /> STOCK NUMBER SIZE DESCRIPTION ORDERED SHAW ED RREv.sRIR PTITY R CE T F.E.T. EXTENSION <br /> AXABL <br /> PARTS LABOR TAX% AMOUNT TAX Q.E.T. AMouNr !I :;! INUqICE TQTAI <br /> A FINANCE CHARGE OF 1'/z% PER MONTH (WHICH IS 18%ANNUALLY) WORK ORDER <br /> WILL BE CHARGED ON ALL PAST DUE ACCOUNTS <br />
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