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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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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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FSRkD -- <br /> ;: __.. TJ .ST 4 :�3.,` .«`. 't;� <br /> INCORPORATED 01 246720 D 99 <br /> .:WEIGMvtiASTEER r. ..., .,.. n...:y' <br /> !9 South Austin Road/WEIGHING LOCATION P.O. Box 6336 V. PONCE k <br /> Aanteca,CA 95336 Stockton,CA 95206 <br /> -- DATE ilii € 4 TIME Its <br /> .al ;III: (209)982-4298�WEIGHING LOCATION Main Office:(209) 466-4482 � <br /> te� 04 <br /> irce Recovery: (209)982-4936 Fax:(209)465-0631 12/ QQ f,1 <br /> 000311 <br /> P G & E STOCKTON <br /> CURT -DENNEY a` ; 3 ✓ tt.... :z �s.; F :A ac�tt~air. ;;: „ - ,s <br /> P. 0.. BOX 508 GRORT 007 <br /> STOCKTON GA 95201 fiE%0ElyCE <br /> 311 PG 9: E ` <br /> v <br /> Scale 2 Gross Weight 66640 LB 'Inbound — .Charge ticket <br /> Stored Tare Weight 30160 LB <br /> Net- Weight 36480 LB r <br /> ',.,: l7f?IIT, <br /> E <br /> I <br /> I 18.24 TONS Covet- Class 11 Fon <br /> 1 <br /> { <br /> I <br /> I <br /> - E <br /> I -r <br /> W HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured;of counted by a weighmaster,whose signature Is <br /> orMls certificate,who Is a recognized authority of accuracy,as prescribed,by Chapter 7(commencing with Se6fion 12700)of Division 5 of the California Business <br /> and Professions Code.administered by the Division of Measurement Standards of the.Caiifornia Department of Food and Agriculture, <br /> LMANIFEST # 627203 <br /> TRUCE: # 9B26232 <br /> P.O. # 4040 WEST LANE — STOCKTON <br />' Schedule 24 hours in advance directly with the landfill . <br /> L Call - (209)982-4.298 to schedule. <br /> Drive Safely ! ± s3ifyKaff . <br /> L ! <br /> DRIVER'S SIGNATURE <br /> ! <br /> 1 <br /> l <br /> k4 <br /> I <br /> 1 <br /> e <br /> 3 <br /> M <br /> f LI <br /> j1 <br /> i <br /> I <br /> E <br /> I <br />
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