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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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W
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WEST
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4040
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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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L <br /> TORWARb <br /> f $� °£ tffir. �i � .. r a• .n_c �. M „r_`�Q ' <br /> I � INCORPORATED 0 clit U,- 1P <br /> 3 It <br /> Loth Austin Road/WEIGHING LOCATION P.O. Box 6336wf�fAsia. <br /> teca,CA 95336 Stockton, CA 95206i'iC) CL <br /> Ifill; (209)982-4298/WEIGHING-LOCATION Main Office:(209) 4664482 <br /> ru Recovery: (209) 982-4936 Fax: (209)465-0639 ' P<12a i t Dt� 1 f 41 <br /> {.�fJ� .r.'.11 •�-;-.n Baa, I .,� <br /> P !? uTC)GF.T 71V i 1L: <C itrt (} y <br /> CURT DEl'+It+IEY t � rt �r 1r> iiC4 f r` a z ao t? ) <br /> s <br /> 5T0i1,'.T01'+I CA 952`}i �' stFEFti=t+tG %sv.N �: - 1 � R vx ' <br /> Q 11 P. G. �� E. <br /> L� <br /> manual Gr•o,ss.; Weight. 77240 L%-f 1nbL-1L.trid - Charge tdck:et f <br /> ' ManUa1 Tare Weight. 232114+i! LB <br /> j- l' e't.- Weight 45 100 L2 I <br /> _[3r E3 z”d r. E 1PTff A " t "3,: s`Jf 6L:r..fRA7:' <br /> I i <br /> :HI -.STER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted I y a weighmoster,whose signature is <br /> ,isI-rtificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Sections]2700)of Division 5 of the California Business <br /> ?r scions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> h t n 1 T sf'1`r`6 +tIFT> I A{)1 ImoL = <br /> F .D. hl 4040 WEST Lr'••TNE Sz i(30-, l lei's l <br /> Tn a i 1 =rl' <br /> 12. i E =;t k TFrIDi t <br /> ci-tadLi19 24 h1QL.ft-s in advar:ce dir�,ctly with tl--,e li�mdf i 11 . cHAtvGE ^= l <br /> L Cal . 209 )��82--LF-38 t--�:) 5chedLtle. <br /> Drive Safely ! ! <br /> DRIVER'S SIGNATURE <br /> i _ f <br /> I i <br /> f <br /> { <br /> I <br /> I <br /> L <br /> V <br /> 1 <br /> i <br /> i 4 <br />
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