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REMOVAL_1995
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231588
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REMOVAL_1995
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Last modified
4/19/2021 11:36:18 AM
Creation date
11/5/2018 1:03:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1995
RECORD_ID
PR0231588
PE
2381
FACILITY_ID
FA0003917
FACILITY_NAME
BORAL ROOFING
STREET_NUMBER
9508
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19321003
CURRENT_STATUS
02
SITE_LOCATION
9508 HARLAN RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\H\HARLAN\9508\PR0231588\REMOVAL 1995.PDF
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EHD - Public
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f <br /> • - -' _ WEIGHMASTER CERTIFICATE <br /> .^� THISISTO CERTIFYt dt the following ibed commodity was weighed,measured,or counted by araster.whose signature isonthis cern- <br /> ¢� fcate, who (s a recognized authority o-curacy,as prescribed by Chapter 7 (commencing with Seo i 12700) of Division 5 of the California <br /> Business and Profeslions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. - <br /> PL66hased from BROWN SAND INC. - 239-4837 <br /> ti y Sold To -.,�� (\ Weighed At: C - <br /> t-- :.Job 874 E.Woodward Ave DRIVER ON ® gate J 1g i` <br /> Manteca,Ca. 95336 JOB No. <br /> I "Location - ' Tare Wt. LggP U . <br /> Net Gross Wt. Type Truck 4 Trailer Purchase Order No. - Trucker Drivers <br /> Weight(Lb.) Only(Lb.) 32180 LB Material Size Signature <br /> 1.7 <br /> Ll`1 67160 LB 920 H <br /> i 2. �? 20 LB Qc�� 2. <br /> 3. 3. <br /> 4. 4, <br /> 5. 5. <br /> 6. 19550 Lb 6. <br /> 7. . (" �� 640 LB .�s_1 lC 1. . 7. <br /> as 100 LB '; %; ;E1�6. <br /> 8- )ar <br /> g, 9. <br /> 10. 10. <br /> 11. <br /> 12. 31440 LB _.(a 12. <br /> 13. .'. �.. ( 70820 LB Tr?G ' 1 - �- - O)T ,G/ 13. <br /> 14. 14. <br /> 15. 15. <br /> 16. 16. <br /> 17. 17. <br /> 18. 18. <br /> 19. Lf zJL✓ / C, 19. <br /> 20. ( K • �3 20. <br /> TYPE MATERIAL TYPE MATERIAL <br /> 1000 Plaster Sand Total 9000 Playground Total C <br /> 2000 Top Dressing Total 12000 R.J. Sand Total Time on Duty <br /> Sand <br /> 4000 Eng Fill Sand Total 22000 C-Mix Total <br /> - Deputy <br /> 5000 FII Sand Total 24000 Hot Plant Sand Total Signature -C ✓" T- -'�""' 6:30 AM. <br /> 6000 Trap Sand Total 25000 C C Total Deputy <br /> Signature 6:30 AM. <br /> 7000 Top Soil Total 30000 Putt'n Tee Mix Total Deputy <br /> Signature 10:30 AM. <br /> 8000 Masonry Sand Total 33000 Special C C Total BROWN SAND INC. S.A.945 <br /> _111„ WEIGHMASTER <br />
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