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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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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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I <br /> 2 <br /> FORWA D <br /> SITE,; 71C.KET taiillil u a -u <br /> INCORPORATED 0 246683 u :,.WMU-D2(.iOo ' <br /> I � <br /> r:,' lE1Gl�:ASTER ,.., t • ,,.� . <br /> . 3999 South Austin Road/wEIGrIINc LOCATION P.O. Bax 6336 .Y,.' <br /> Manteca,CA 95336 Stockton,CA 95206 V F ONCE <br /> La fill: (209)982.4298/WEIGHING LOCATION Main Office:(209)466-4482 <br /> 1%�rce Recovery: (209) 982-4936 Fax:(209) 465-0631 <br /> 1,2 X29 f00 08::30 j <br /> 4 leaf 31 1 }V <br /> ,Fr:,,:• n.a%`:SATE OiJt;: �°'`'°", �- ',,: ,TIME;i <br /> P G & E -- STOCK'TON i.G l /t:I_s t8,3t) F <br /> CURT DENNEY <br /> i <br /> P. O LOX 508 'SHORT 00 <br /> 7.,. I <br /> STOCIc:TON CA 95201 <br /> r, :,, •: q ,.ORIGIN � - <br /> 3111. FIG S: E j <br /> i Scale i Grvsi� Weight 75080 L8 Inbound - Charge ticket <br /> Stored Tare Weight 3t_1160 LE, <br /> Net Weight 44920 LES I <br /> ,.P,s � z -.> t UfliTt` <br /> 22.46 TONS Cover Class 11 Ton ` <br />+I <br /> L <br /> I ' <br /> 6r'I <br /> WI�.�9HMASTER CEP,TIFICATE THIS 15 TO CERTIFY That the following described commodity was weighed,measured,'6 counted by a weighmaster,whose signature is <br /> on this 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 /> and Professlons Code.administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> Ll MAN <br /> I FEST - # 627202 <br /> I i <br /> TRUCK # 9B26232 <br /> P.O. # 4040 WEST LANE w` STOCKTON TENDER�v " <br /> 1 <br /> Schedule 24 hours- advance directly With the landfill . Cl�art"� <br /> ds <br /> s in <br /> I <br /> Call (209 )9132-4295 to. schedule. <br /> i Drive Safely ! ! � r�.r :'cF� el<<rto� <br /> r" <br /> R <br /> DRIVER'S SIGNATURE-', <br /> I FF <br />' I <br /> L <br /> a I <br /> I <br />
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