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FIELD DOCUMENTS_CASE 1
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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PR0545105
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FIELD DOCUMENTS_CASE 1
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Last modified
12/19/2019 2:07:57 PM
Creation date
12/19/2019 1:59:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 1
RECORD_ID
PR0545105
PE
3528
FACILITY_ID
FA0003965
FACILITY_NAME
PG&E
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11702001
CURRENT_STATUS
02
SITE_LOCATION
4040 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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I <br /> L FORWAkD' <br /> �I <br /> TJGK <br /> INCORPORATED �?: D., D 5, <br /> 09 � <br /> 99r <br /> South Austin Road/WEIGHING LOCATION P.O. Box 6336 •; ., MAC 1 EL "' I <br /> anteca, CA 95336 Stockton,CA 95206 <br /> inf-11;(209) 982-4298/WEIGHING LOCATION Main Office: (209)466-4482 <br /> es�,.rce Recovery:(209) 982-4936 Fax: (209)465-0631 12 22-1,i r'{) 10.40 <br /> f <br /> LCURT DEkINEY Y 1/EHICLE s; .,ROLL'C3FF h <br /> 1 P. 0. BOX 5t,S I <br /> i STGfCV"TON CA 95201 AtFEREidC <br /> 3 1A P. S. 8. E. <br /> E. <br /> 1rr <br /> Manual Gross Ws- icht 7'?9 0 LSI Z1-rb,A.-IurtCi — C7,la cIo ficial:• <br /> Man Ua I Tare Wceia'1'7t S'cW'_3 +fl LB i <br /> CtI i• weight J 4-11620 i i_ <br /> JA#ITf .,.. _ <br /> d <br /> �.G i�7TS s'sl4- Lls 11 ilii <br /> I G <br /> JI+ L A <br /> Lf <br /> i <br /> IE1 IMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a welghmaster,whose signature is <br /> •n 4%certificate,who is a recognized authorify of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Colitomia Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture, <br /> I"a iifEst. 627200 PTETytil7itllV <br /> F'.GI o # 4()4 0 WIE T L i NIE — STDC1, TSP;{ <br /> SCIRedulW-a 224 „,c-iu s iI"i advari�cc d1rect1°y i •1-r the 1andf'111a <br /> Galt t_ �. Ir�C.i_ilcs . <br /> DRIVE=R'S SIGNATURE <br /> I <br /> i � l <br /> I i <br /> i <br /> I <br /> f <br />
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