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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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C
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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 <br /> )999 South Austin Road/WEIGHINkJOCATIOM P O Box 6336 <br /> ,ianteca,CA 95336 'N, Stockton,.CA 95206 � `f'��l�' Z�' <br /> ! (209)982-4298/WEIGHING LOCATION Main Office (209) 466-4482 •:,h .1 ; , <br /> ce Recovery- (209)982-4936 Fax (209)465-0631 s fop r ! I r~1 r0 w no <br /> - <br /> Pir'f F rr i Z 1:"1.x+{ 3 SJ a (3f)I <br /> I'!'i�' }11 1•!�_L�ti _ <br /> 'Y K <br /> tIE}z (T- r.l #�lF•P! 'vr7 <br /> r' T T'r"t V <br /> -,.I T a1_ ` I'1�z 1 r1l.1 .MCI,+71] t-ti <br /> 1'0' S ;e F ci.f 1 !� <br /> t ,4r fY" "t�Ir- urtl Io 8 t _ 1OTAtr' <br /> r <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a we)ghrnaster whose signature Is <br /> on this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of DMslon 5 of the Catfornla Business <br /> and Professlons Code administered by the Division of Measurement Standards of the Callfomia Deportment of Food and Agriculture <br /> NE qT AMOUNT <br /> TEN FRED <br /> + NGE <br /> -,1✓HEcx No <br /> DRIVER'S SIGNATURE �' f <br /> i <br />
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