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SITE HISTORY
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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PR0544601
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SITE HISTORY
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Last modified
6/25/2019 5:14:09 PM
Creation date
6/25/2019 4:35:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0544601
PE
3528
FACILITY_ID
FA0002253
FACILITY_NAME
JACK FROST ICE SERVICE
STREET_NUMBER
36
Direction
N
STREET_NAME
D
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318028
CURRENT_STATUS
02
SITE_LOCATION
36 N D ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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i <br /> 'A & S Metals-invoiceI,JV h rbc' <br /> 1616 Angelo way- Date : 10/16/98 J810160008 <br /> Modesto ' CA 9S3S8 <br /> Phone J209 ) S37-4766 <br /> T5CHCD0C 1 <br /> DEL TEC' <br /> Licence C)000000 State : <br /> Cther 0 = Tru — Number C <br /> . II <br /> Line Comm Description LV' <br /> ____ �__ LV' Weight Unit_Cost Lin,e_Total <br /> 1 V1011 41 0? 1760 5 .000 4 . 40 <br /> 4 .40 <br /> Reading 1 2 3 4 6 7 8 9 <br /> G r as 8225 0 .0 0 0 0 0 0 0 <br /> Tare 0460 0 0 . - 0 0' .0 0 0 0 i <br /> �:et ?;'on 0 0 G 0 0 0 0 0 <br /> h <br /> THIS 1S TO CERTIFY that the described commodity was weighed measured <br /> or ccunte, by .a weighmaster , whose signature is on this certificate , who is <br /> recognized authority of accuracy , as prescribed by Chapter, 9 ( commencing <br /> with Section 12700 ) of Division S of the California Business and Professions <br /> Code administered by the Division of Measurement Standards of the California <br /> C.-c•artment of Food and A'grIcultur e <br /> n accordance with Sect iAs 608( b)( 1 ) and 608( c ) of the 1990 Clean AiT Act , the <br /> undersigned Gertifies that all CFC refrigerants have been properly evacuated <br /> from any recyclables contained in, this -shipment <br /> 1 hereby stpte that 1 am the lawful- owner of the material described hereon., .that <br /> . 1 have a right to sell same and that for payment received in full , hereby <br /> acknowledged , tell; and convey title of same to A & S •MetalsL r <br /> �{1-L�r 1_ C i X <br /> Deputy Wfighmaster Signa. pure � <br /> eiv Payment <br />
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