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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
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WNg
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EHD - Public
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FORWARD 57c —TICKET GRID <br /> �► INCORPORATED TI3542 __ <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 )N <br /> _ <br /> EIGHMASTER <br /> lanteca, CA 95336 Stockton, CA 95206 MAC I EL <br /> `and% (209) 982.4298/WEIGHING LOCATION Main Office: (209) 466-4482 ; _ DATE IN TIME IN <br /> �iesource Recovery: (209) 982-4936 Fax: (209) 465-0631 04/21 /?8 15:3Cj <br /> 678111 DATE CuT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 04/21 /58 15:32 <br /> KEV <br /> =;3- <br /> KEVIN McK I BBEN VEY CLE ROLL OFF <br /> STOC`'.TC fel C:A 55205-2486 REFERENCE i ORIGIN <br /> 781 1 1 1K 1 _ =r_ AND SROCERY <br /> Manual Gross Weipht 79200 LB inbound Charge ticket <br /> Manual Tare Welaht 31400 LP <br /> Net Weight 47800 LE <br /> QTY. i UNIT DESCOPT!ON ;ATE I EXTENSION TAX TOTAL <br /> 23.`.`'!? TONS Cover Class I I Tom <br /> � I <br /> I <br /> E,GHMASTER CERTIFICATE 55 6 TO CER?. Tnor me`ollewi.^ ;cnc_ . s - _ <br /> __ . ^!ecognZed outhlinty of occuacy,an c' ome c er c 7 se 27 To'S-c&S.en <br /> ::'*ani5'.ereC by the D son.of Measwe- 17"„M W TAE CIO', 0 <br /> Manifest # 57816 NET AMOUNT <br /> P.O. # NONE: TENDERED <br /> Trailer # 3.24. 18 <br /> n. <br /> Schedule 24 F;=urs in advance direntt.1V with the landfill . CHANGE <br /> Call (20q )98E-4296 to schedule. <br /> _'rive Eat e l v I I CHECK NO <br /> i <br /> recvcled paper <br /> DRIVER'S SIGNATURE <br /> �A� <br />
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