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SU0012494
Environmental Health - Public
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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22313
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2600 - Land Use Program
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PA-1900180
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SU0012494
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Last modified
11/19/2024 4:01:46 PM
Creation date
11/19/2019 2:13:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012494
PE
2690
FACILITY_NAME
PA-1900180
STREET_NUMBER
22313
Direction
E
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320-
APN
20526009, 20526010, 20526021, 20526022
ENTERED_DATE
8/13/2019 12:00:00 AM
SITE_LOCATION
22313 E HWY 120
RECEIVED_DATE
8/12/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\O\HWY 120\22313\PA-1900180\SU0012494\APPL.PDF
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EHD - Public
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1.1601 CULPEPPER AVE. 3.17300 JAHANT ROAD LV PLN7 I ARIV JOB I ST. POUR <br /> " `r MODESTO,CA 95351 CLEMENTS,CA 95227 <br /> 2. 1375 POST ROAD 5. 2714 STAGECOACH DR. / L J �� <br /> OAKDALE,CA 95361 STOCKTON,CA 95215 <br /> FIN POUR LV JOB ARiV PLNT <br /> INC. WEIGHMASTER <br /> P.O-BOX 4770 <br /> MODESTO,CA 95352 TRUCK M LOAD# <br /> (209) 529-4050 <br /> DATE: ' e <br /> 12 3' -0e :Jt2D_R tt t 1 .1 <br /> SOLD TO: <br /> DRIVER TOTAL ON JOB <br /> PROJECT: <br /> DELIVERY INSTRUCTIONS: <br /> W. ? c C>, AlSOU'r :?, M I t ES F''OS"r E,SCAL ON UILi (I'%' H T. <br /> SLUMP JOB ADDED WATER P.O. ZONE LOT BLOCK <br /> QUANTITY U/V NO DESCRIPTION UNIT PRICE AMOUNT <br /> 1, U ;Ei ;:(�ftti) aL :•:,�:; �; >c sf }'.. r <br /> �'' SUBTOTAL <br /> .4-DEPUTY •__ —" PLANT NO. <br /> WE MASTER CERTIFICATE <br /> THIS ISTD CEATWY that the following described commodity was weighed,measured,or counted by a weighmaster, SALES TAX <br /> whose signature Is on this certificate,who Is a recognized authority of accuracy,as proscdbad by Chapter 7 <br /> (coram cing with Section 12700)of Division 5 of the California Business and Professions Code,administered by the <br /> Division of Measu!!!TLPR Standards of the Califomla Department of Food and Agriculture. STAND BY <br /> Ready mixedoonpeta�r¢¢aemen harmful to the skin,eyes or mucus membranes.Avoid direct contect where <br /> possible and wyft ixpaeW atiiee prom ;th water.If irritation persists,meek prompt medical attention. <br /> TERMS TOTAL 4 t e. +)'/ <br /> A. Pud alas"pay 1'is%mon"service GwQe on unpaid balance. <br /> o. Purchaser shall pay MI costs of collection Including reasonable ettomey fees. <br /> C. Seller win not be maponaNs for damage inside curb line. ACCUMLATED <br /> D. Buyer to provide suitable access to jobsite from curb line. TOTAL <br /> E. Buyer or him agent shill pay any towing fees incurred Inside curb Tins. <br /> F. Deliveries to jobaltes not accessible due to ground or weather conditions shall be the leuyer's responslbillry• <br /> G. CA.Civil Code Chapter 5,Rg Section 1719-K your:shack is returned you could be liable for three tines the <br /> amount of the check or Yloo,whicf!"r is plus the face value of the check end court costs. <br /> RECEIVED BY.L``t _6_' wTAG NO. <br /> SEE REVERSE SICE "OR MATERIAL SAr-E lY DAa A CONTROL NO- 32173 <br />
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