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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544200
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Last modified
2/27/2019 7:19:12 PM
Creation date
2/27/2019 4:34:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544200
PE
3528
FACILITY_ID
FA0003734
FACILITY_NAME
PRODUCTION CAR CARE PRODUCTS
STREET_NUMBER
1000
Direction
E
STREET_NAME
CHANNEL
STREET_TYPE
St
City
Stockton
Zip
95205
APN
151-160-60
CURRENT_STATUS
02
SITE_LOCATION
1000 E Channel St
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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Tags
EHD - Public
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r •. > WEIGMMASTEqGERTIFlGATE ui <br /> THIS ISTO CERTItY that the followm9 abed commodity was weighed measured orcounted by a naste�whose srgnature is on this Gerd + -: <br /> ;.:•ficate,who.is a recognized authority of racy,as prescribed by Chapter 7(commencing with Secy 2700)of Division.50 <br /> f the.California ' <br /> Business and Professions Code,adminis)bwd by the Division of Measurement Standards-of the California L,...griment of Food and Agriculture <br /> Purchased:from. BROWN SAND INCti 239-4837 <br /> Sold To _ Weighed At <br /> Job 874 E.Woodward Ave DRIVER ON X - dale � 19 <br /> Location Manteca,Ca.95336 dOB No x -�, a <br /> Tare Wt Loop# <br /> Net Gross WL % Type Truck# -TS�r Purchase Order No. Truck r `-Drivers <br /> Weight(Lb.) Only(Lb.) 34500 � Material' Signature <br /> ,. 77080 LB 5 69 _k)q7T ,. <br /> 2. 2. <br /> 3. - 3. <br /> 4. 4. <br /> 5. 5. <br /> 6. 6. <br /> 7. 7. <br /> 8. 8. <br /> 9. 9. <br /> 10. 10. <br /> 11. 11. <br /> 12. 12. <br /> 13. 13. <br /> 14. 14. <br /> 15. 15 <br /> 16. 16. <br /> 17. v 17. <br /> 18. 18, <br /> 19. 19. <br /> 20. 20. <br /> TYPE MATERIAL TYPE MATERIAL <br /> 1000 Plaster Sand Total 9000 Playground Total <br /> 2000 Top Dressing Total 12000 R.J. Sand Total Time on Duty <br /> Sand <br /> 4000 Eng. FII Sand Total 22000 C-Mix Total <br /> Deputy <br /> 5000 FII n Total 24000 Hot Plant Sand Total Signature 6:30 A.M. <br /> 6000 Trap Sand Total 25000 C C Total Deputy <br /> Signature 6:30 A.M. <br /> 7000 Top Soil Total 30000 Putt'n Tee Mix Total Deputy <br /> Signature 10:30 A.M. <br /> 8000 Masonry Sand Total 33000 Special C C Total <br /> BROWN SAND INC. S.A.9-75 <br /> WEIGHMASTER <br />
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