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SU0011412
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HILDEBRAND
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19900
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2600 - Land Use Program
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PA-1700135
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SU0011412
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Entry Properties
Last modified
5/7/2020 11:35:08 AM
Creation date
9/5/2019 11:17:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011412
PE
2690
FACILITY_NAME
PA-1700135
STREET_NUMBER
19900
Direction
N
STREET_NAME
HILDEBRAND
STREET_TYPE
AVE
City
ACAMPO
Zip
95220-
APN
01734005
ENTERED_DATE
7/3/2017 12:00:00 AM
SITE_LOCATION
19900 N HILDEBRAND AVE
RECEIVED_DATE
7/3/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HILDEBRAND\19900\PA-1700135\SU0011412\APPL.PDF \MIGRATIONS\H\HILDEBRAND\19900\PA-1700135\SU0011412\CDD OK.PDF \MIGRATIONS\H\HILDEBRAND\19900\PA-1700135\SU0011412\EHD COND.PDF \MIGRATIONS\H\HILDEBRAND\19900\PA-1700135\SU0011412\EHD PERM.PDF
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EHD - Public
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P & L CONCRETE PRODUCTS, INC. . ,- <br /> 1900 ROOSEVELT AVE. • ESCALON,'CA 95320.1763 <br /> WEIGHMASTER CERTIFICATE (209)838-144811-80D-35.9-1448 FAX(209)838-1455 DELIVERY TAG I INVOIC <br /> THIS IS TO CERTIFY that the following describe($ P 14 L CONCRETE PRODUCTS, INC. ' <br /> Commodity was weighed, measured, or counted by a WEIGHMASTER <br /> weighma ter, whose signature is on this certificate, who is <br /> a taoognizod authority of acoufacy, as prescribed by <br /> d"ber 7(wmnTerxdrlg with section 12700)of DlvWw a of <br /> the Oamnee BusL'•Rsae and Prufesobne Code,Adminlalered <br /> by the omolon of Measurement standams of the Callfomla gy; r$I If l 1 ::14(1 141 19 r _( Q Inv., Pate :04 i <br /> Deperbnent of Food and Agraitture- <br /> 'DEPiJTY F'df{E` Nu. '. <br /> SOLD TO: OESTINAT{ON: <br /> 6 <br /> t ;r r ltka:'15 Kfli�'` e'U11dtdF'r—1C4( LODI <br /> OFF WI)1;IOF3RT1)GE.. [':JO '?919W <br /> ":i.i::;'.•" 1900 ROOSEVELT AVE <br /> ESCALON,CA 95320 <br /> READY MIX CONCRETE BB�glees torew bailer sl two holo•from(Mlle Old or pay$1.251or VEHICLE LICENSE OR <br /> LMA I_, each ad rhnluls ow•ltwo hours. E-QUIPMENr 1I MSER <br /> CELR1@rt AOlax DLAM 1 • cuslonlef admowiefts,he hes liability insurance on vetlde ID be used In TFR=NO: <br /> MRNE low Baler, Z, <br /> eMo rhos eN,rDe S .C•C, •CusMmera�es le�lltrntniMrdleenmd If4alerisnotpmpedy TRAnHc <br /> rsaern STMT I deafleda(leruse.cuslcIDw.egaBS'foPay i9BsnIngchope. <br /> Roar a Laos row ` ' •Cuslbaw Iudhll-•gees to assume I&ik arsibity for damage to trailer,or C.D-Ls <br /> afflage rK YARDS Readmufti <br /> TOnghomlialer,blooding a�rotr�yieas.tor aeM lraYerwhleneinhb <br /> WATER o I LAIL -ON me t'" PDDR uatody CusWriler also agrees n obey all Calomis Sate Traffic Laws and Is VM LIC.a <br /> WATER,nAro lax osaoEr;. c, - ARRat< Iaip011*W for any disponi recebad whits using the baler. <br /> CNe 'NUIMER RANT •Ne trailers out overnight INITIALS P ,�EbUP al <br /> I <br /> 11.ip ii �t.e : P. D, rdn^ :Diu I)a.l:e Vt5% 3. /+04: I)r^i ver <br /> f Iyc tilt?.11!.iH%1 : .f is:'Ra rdV. !.}I.tc:r.j't`ipt: 7.0n ' -Urlit 1-1r^ire. Amount <br /> I <br /> f:.. jl[l tsf�l`JU f iL.l IR;'t f ti?. ', 8ACN•. 99. 50 597. <br /> 1. iYlt;?i F[1i' L. c�LIRf'I-IfiD!i:;L: ikS)TiI'f a(:fNAt_ Ci-iraI iF_ t` 10.-00 4t. <br /> I <br /> li <br /> I hereby acknowledge the Satisfactory PaLCONCRETEPRODUCTS,INC. Subtotal a 617. <br /> completion of the above described work. ASSUMES NO RESPONSIBILITY 1 e s Tax 47, <br /> FOR DAMAGE INCURRED IN <br /> RECEIVED BY: DELIVERING MATERIALS INSIDE. Invoice Total ; 664. <br /> CINooneonJobalte penntNo. THE CURB LINE <br /> CAUTION: CONCRETE IS CAUSTIC. AVOID CONTACT WITH SKIN F'a.Yaent <br /> TERMS:_ All Invoices are due and payable by the 10th of the following month. ..00 3740 <br />
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