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ARCHIVED REPORTS_XR0002230
Environmental Health - Public
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EHD Program Facility Records by Street Name
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G
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GRANT LINE
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575
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2900 - Site Mitigation Program
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PR0542420
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ARCHIVED REPORTS_XR0002230
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Entry Properties
Last modified
1/23/2020 10:11:18 AM
Creation date
1/23/2020 9:28:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002230
RECORD_ID
PR0542420
PE
2960
FACILITY_ID
FA0024376
FACILITY_NAME
FORMER CHEVRON 98632
STREET_NUMBER
575
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
575 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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See Reverse for <br /> Terrps &Conditions <br /> AMERICAN TRANSIT MIX CO., INC. TICKET NUMBER <br /> WEIGHMASTER CERTIFICATE <br /> f THIS IS TO CERTIFY that the following descnbad commodity was weighed <br /> s measured or counted by a weighmaster whose signature is on this cartdicate �+-` i l] <br /> who Is a recognized authonty of accuracy as pnncnbed by Chapter 7 <br /> CAUSES SKIN IRRITATION-INJURIOUS TO EYES (commencing with Section 12706)o1 Division 5 of Itie Cslitomra Business and <br /> O CEMENT FRESHLY MIXED CEMENT MORTAR,CONCRETE OR GROUT MAY CAUSE SKIN INJURY Pmfessions Code administered by the ion of Measurement Standards of T <br /> AVOID CONTACT WM SKIN WHERE POSSIBLE AND WASH EXPOSED SKIN AREAS PROMPTLYtlla Cairfomia Department M Food and Agruwlbae <br /> WITH WATER L PLANT, ARR�OB <br /> IF ` `.{1/(/� r ff/ <br /> WATERCEMENT16 OR MINCEMENT MOCTURES MINTOEDIC LATTE RINSE IMMEDIATELY AND REPEATEDLY WITH *LOCATION WHERE WEIGHED it L7 <br /> WATER FOR 15 MINUTESANO GET PROMPT MEDICALATTEN1iON <br /> KEEP OUT OF REACH OF CHILDREN (SEE REVERSE FOR PLANT I D) START POUR END POUR <br /> SOLD TO SHIP TO <br /> LV JOB ARR PLANT <br /> TRUCK* TBATOHTIME <br /> `L <br /> CUST# PROJECT# SHIP DATE *PLANT ORDER# CUSTOMER PO JOB 1 LOT# <br /> MIX# UNITS LOAD# QTY ORD'D QTY SHIP D SLUMP USE DRIVER <br /> 911-1,1 -+, wl"I y[} I - I7e.' `� . 044 ill-it z I_L`l t_[11!,i v U T#I I ir;htF f` <br /> MIX DESCRIPTION CASH SALE <br /> UNIT PRICE UNIT AMOUNT <br /> i f;trCll l i l <br /> ' I C) <br /> PRODUCT QUANTITY UNIT DESCRIPTION <br /> z <br /> J <br /> O <br /> C.� <br /> WATER ADDED AT START REV CERTIFICATE OF COMPLIANCE <br /> SUB-TOTAL <br /> PLANT WE CERTIFY that the portland cement chemical and mineral admixtures contained In the matenal <br /> -GALS dascnbed below are brands stated and Comply with specifications for SALES TAX <br /> iNmus FINISH REV <br /> JOB SITE L`'` CEMENT BRAND TYPE II MILL LOC TOTAL <br /> GALS iNmws CHEM ADMIX BRAND TYPE STAND BY TIME <br /> CYLS TAKEd! SLUMP METER MANUFACTURER GRAND TOTAL <br /> :) MINERAL ADMIX MFG CLASS CUM TOTAL <br /> REMARKS „III I tj iii sat',`tlS3 I Ilk t L I Y ti(If L 1 Ivf"!t <br /> I- <br /> J+?"�'A�. Q � <br /> o <br /> 0 <br /> n <br /> NMERICAN TRANSIT MIX CO, INC WEIGHMASTER CVSTOMERAGRFESTOTERMS&CONDMONSONREVERSE SIDE <br /> DEPUTY RECD BY X <br />
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