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SITE HISTORY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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701
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3500 - Local Oversight Program
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PR0544217
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SITE HISTORY
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Entry Properties
Last modified
3/4/2019 11:11:24 PM
Creation date
3/4/2019 4:22:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0544217
PE
3526
FACILITY_ID
FA0002512
FACILITY_NAME
GSG GAS & MART
STREET_NUMBER
701
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734311
CURRENT_STATUS
02
SITE_LOCATION
701 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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r � <br /> FORWARD <br /> S TiCr.ET GRID <br /> 60 V� INCORPOR .ATFD 021 _a`3541 <br /> ')999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> :anteca,CA 95336 Stockton, CA 95206 S. MAC I EL <br /> indhl (209) 9824298/WEIGHING LOCATION Main Office: (209) 466-3382 DATE IN TIME IN <br /> "Tesource Recorery: (209) 982-4936 Fax: (209) 465-0631 C-'4/21 j qg 15:21? <br /> 672111 DATE OUT TIME OUT <br /> ADVANCED BED ENVIRONMENTAL i 04/21 /18 15:30 <br /> We KEVIN McK I BEEiv VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY <br /> 15205-24S6 REFERENCE ORIGIN <br /> '_T i GKTON Lid <br /> Mafn_al Gros= Wei ht 7720 LE inbound — Charge 'ticket <br /> bm Manual Tare Weiaht 31320 LB <br /> Net Weight 66400 LF, <br /> QTY UNIT DESCRIPTION RATE i EXTENSION TAX TOTAL <br /> E3.20 TON= Cover Class II Ton <br /> i <br /> 6tEIGHMASTER CERTIFICATE THIS S'O CE('i.'1ho� cuow,r.c oescctec cc^ < -_ _ ac r� wegnmos+er.whcse srgroiure is <br /> CeVoW : s o reccgn¢eo o ncrty of cc::u,cc� cs c,escribec t;. - D0;cf Divisieh 5 of the Coufornie Business <br /> "s Ccm ,..,m spec bs the:aw v mensm—em wormum v _ - :C:. _ <br /> ._v a 7nne. J <br /> � NET AR90UNT <br /> r Manifest # 619417 r <br /> Truck # SG 37241 <br /> F.0, # NiNE TENDERED <br /> r• <br /> Trailer # 3.24. ?9 <br /> Schedule 24 hours in advance directl'v with the landfill . CHANGE <br /> Call (209 )982-4298 to schedule. � <br /> Dri'v'e Oct':'e l V ! ! CHECK NO. <br /> recvcled pape, <br /> DRIVERS SIGNATURE <br />
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