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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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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 /> Terms&Condlfroqs <br /> AMERICAN TRANSIT MIX CO., INC. WEIGHMASTERCER71FICATE TICKET NUMBER <br /> THIS IS TO CERTIFY that the following descnbed comavo ty was weighed <br /> mewursd or taunted by a weighmaster whose signature Is on thls certltitate <br /> • who is a r aWmed auftrity of accuracy as prescdbed by Chapter 7 <br /> CAUSES SIGN IRR[TAT0%-IWUFIOUS YO EYES {commencing with Section 12700)of DtWston 5 of the Celdomia Business and <br /> *CEMENT FRESHLY MVED CEMENT MORTAR,CONCRETE OR GROUT WAY CAUSE Mh IN)Ry Pl Wmions Code administered by the DMslon of measuremant Standards of q Ly,pp/>< T ARR JOS <br /> AVOID CONTACT wm1 SKM WHERE POSSIBLE AND WASH ENPOSED SKIN AREAS PROMPTLY WITH WATER. tl1e rWg0Mra Department of Food aAglim Wra ! r {r' a M <br /> IF ANY CEMENT OR CEMENT VECI MIRES GET%M 11%EYE.RINSE tMMEDUTELYAND REPEATEDLY WITH *LOCATION WHERE WEIGHED -" t; % 1 r` <br /> WATER FOR 15 MINUTES AND GET PROMPT MEN <br /> EDICALATTTION <br /> KEEP OVT OF REACH OF CHILDREN (SEE REVERSE FOR PLANT I D) S AFT END POUR <br /> SOLD TO SHIP TO �- <br /> LV JOB ARR PLANT <br /> I <br /> TRUCK# BATCH TIME <br /> ! 1r' ,�lfa .� ' ,lam + � r •` � <br /> CUST# PROJECT# SHIP DATE *PLANT ORDER# CUSTOMER PO JOB/LOT# <br /> I Z� 'ri r 1 (, 1, 1, � - <br /> MIX# UNITS LOAD# I QTY ORO D QTY SI-!IP'D SLUMP j USE DRIVER <br /> ' MIX DESCRIPTION CASH SALE <br /> UNIT PRICE UNIT AMOUNT rFl <br /> IL L I J <br /> t�RR <br /> �l I <br /> PRODUCT QUANTITY UNIT DESCRIPTION <br /> I OCA <br /> I <br /> x <br /> 00 <br /> rJ I <br /> WATER ADDED AT START REV CERTIFICATE OF COMPLIANCE SUB-TOTAL <br /> PLANT WE CERTIFY that the poMand 00msnt d%mIcW and mineral admixtures contained in the material <br /> -GALLS desulbed below are brehda stated and cDnO wren spacidcauans for SALES TAX <br /> JOB SITE <br /> ,nnlAv.s FINISH REV CEMENT BRAND TYPE II Mlll LOG TOTAL <br /> GALSCHEM ADMIX BRAND TYPE <br /> STAND BY TIME <br /> CYLSTAKFAL - SLUMP METER MANUFACTURER GRAND TOTAL <br /> MMiERALADMIX MPGR CLASS CUM TOTAL <br /> REMARKS Irt( r fi]I�� l]` i tIt <br /> I I Q <br /> O <br /> O <br /> r` <br /> AMERICAN TRANSIT MIX CO,INC WEIGHMASTER CUSTOMER AGREES TO TERMS Lr CONDITIONS ON REVERSE SIDE <br /> 0 <br /> BY DEPUTY RECD BY X <br />
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