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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0545445
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COMPLIANCE INFO
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Entry Properties
Last modified
3/3/2020 4:40:31 PM
Creation date
3/3/2020 4:20:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0545445
PE
2961
FACILITY_ID
FA0025798
FACILITY_NAME
CALIFORNIA ARMY NATIONAL GUARD
STREET_NUMBER
333
Direction
N
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04123045
CURRENT_STATUS
02
SITE_LOCATION
333 N WASHINGTON ST
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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A TEICHERT AGGREGATE,] )RlrINAL <br /> Vernalis Rock Plant #1126 <br /> 36314 S. Bird Rd. <br /> DATE: 04/02/107 racy, CA 95304 (209) 834-8300 <br /> CUSTOMER: Intrinsic i t anspor tat i or, Inc T I CK_ET: 77791 <br /> CUSTOMER 279535 LB TON mTON <br /> ORDER 32368 <br /> North Washington Lodi GROSS 67680 33.84 30.70 <br /> - TARE 26060* 13.03+ 11 .82» <br /> P.O. NET 41620 20.81 18.88 <br /> CODE 1404 <br /> PRODUCT 3/4" AB-2 * Manual Weight Scale 4 <br /> QTY 20.81 Ton ORIUER ON TRUCK FOR ALL WEIGHTS <br /> CST CODE Loads y <br /> Today 1 <br /> Qty Toda20.81T 18.88mT <br /> CARRIER NLS Trucking t#B-144 IN:8:05 53 AM OUT:8: 19:58 AM <br /> VEHICLE 33579 PRICE AMOUNT <br /> LIC # NEW TAX AMT DUE <br /> RECEIVED: <br /> Weigh—ma ster Melissa Stirlen DEPUTY <br /> WEIGHMASTER CERTIFICATE: THIS IS TO CER-'IFY that the following described commodity was <br /> weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who <br /> is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section <br /> 12700) of Division 5 of the California Business and Professions Code, administered by the <br /> Division of Measurement Standards of the California Department of Food and Agriculture. <br />
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