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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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LU <br /> FORWAM) ${ice .> T a . <br /> �. INCORPORAI- ED t< ys <br /> Y k ;vaE�r��lsui s rER . > <br /> 19�;..South Austin Road/WEIGHING LOCATION P.O. Box 6336 <br /> Aanteca, CA 95336 Stockton,CA 95206 `'` r 1ti I_. <br /> andfill:(209) 982-4298/WEIGHING I.OtATION Main Office: (299) 466-4482TIME; ] <br /> .es rce Recovery:(209) 982-4936 Fax: (209) 465-0631 i , 2 B {id(j <br /> f 1t)t 7.O 11 � <br /> l k �r,� ASIiT> 311�1E!obT <br /> O1�R;T DENl'-,€E`t 1 <br /> L i 0. BOX 5019 � <br /> Gi � �`� iST=_ : <br /> 31.1 F'. GJ. E. <br /> ricer-ru 1 Gross Weigh 04020 L.E, it?bclt-I•'1ci — Charge tic[:-.et . <br /> 11ar?�.:�1! Tam e lNeigh�: ��I=OI�� LL' <br /> Net Weight 51'_'40 j-..9 � <br /> fTX A` C 3NIY r. #� 1133 F� `z.. �' f': 3 r.r,. 5xe + a E➢C7£N''3C2 :, TAX.'. TC)TFjt' 1 A <br /> I L <br /> i <br /> JEh 1,111 TER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or.counted by a weighmaster,whose signature Is <br /> n certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> m rofessioru <br /> Cade <br /> ,administeredbyby the Division of Measurement Standards of the Cal3fomla Department of Food and Agriculture. <br /> Mari; <br /> AtCY Rt^ <br /> 62711 1?717 j <br /> T r LI C r /� T <br /> 1 L '. # Cs.r^li.i 0 WEST Lr.NF- — STi3lv€.. 103N I <br /> a <br /> .Sit_€ edLLIE E=4 nLiu,-'`3 3t' -atd ar—.cr= IdireCtl y v i Lh she landfill . <br /> _ _1 s�T� 1�E Ri ec <br /> �..,c?�. ,�. �-C�.-3:' i�.�.t,r"7._-.'`.i'G�,'1 t vJ <br /> I DRIVER'S SIGNATURE <br /> 1 <br /> i - <br /> L <br /> � t <br /> 4 L, <br /> L <br /> I <br /> s <br /> I <br />�1 t <br />
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