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ARCHIVED REPORTS XR0006108
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1876
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2900 - Site Mitigation Program
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PR0542421
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ARCHIVED REPORTS XR0006108
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Entry Properties
Last modified
6/21/2019 12:49:02 PM
Creation date
6/21/2019 10:35:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006108
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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FORWARD <br /> INCORPORATED t�cao fir; <br /> V'anlla <br /> uthAustin Etoa4f'N IGHING LOCATION P O Box 6336 f1, CA 95336 Stockton, CA 95206 <br /> (209) 982-42981 WEIGAING LOCATION Main Office (209)466-4482 <br /> tesource Recovery: (209) 982-4936 Fax (209)465-0631 c=— - J. L - M• _ n <br /> J(73 1(_i p V41 2 �8 <br /> C a r' _ - -�z <br /> t1c`I`�n EI, rjER CFF-Fit <br /> -:70Cf TM <br /> 6r,-, Weiyh� �" as �,, � �,, LF{ Innk"t'nirf -w Sf m!_r- I-If 1 Ef <br /> ' h Y <br /> VEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whale signature is <br /> .n this certificate who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of DMsion 5 of the Callforruo Business <br /> Ind Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> 1' INET AMOUNT <br /> s TENDERED <br /> s V-C NGEi' <br /> ,CHECKNO <br /> r ` <br /> DRIVER'S SIGNATURE %�`'c�7 J IL ,�]/� <br />
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