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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 /> 'berms&Conditions <br /> AMERICAN TRANSIT MIX C0.5 INC. WEIGHMASTER CERTIFICATE TICKET NUMBER <br /> THIS IS TO CERTIFY that she la mvmg dew-tied commodity was weighed <br /> measured or counted by a welghmaster whose signature is on&W aerlitieate <br /> • who Is a recognized aulhordy of accuracy as Prescribed by Chapter 7 <br /> CAUSE$SV5H MAfTATION-iNJUMOUS TO EYES (commendna wHh Sachon 12706)to Wsiorr 5 of the Cahfomia Business end <br /> CEMENT FRESHLY MM CEMENT MORTAR.CONCRETE OR GRMn MAY CAUSE SKIN INIURY Professions Code administered by the Division of Measurement StendazdS of LV PLANT� ARR JOB <br /> AVD@ EONTACT WITH SKIN WHERE POSSIBLE AND WASH EXPOSED STUN AREAS PROMPTLY WITH WATER. the Caltlomla Departrre of Food and Agrioultuie r r <br /> IFANY CEMENT OR CEMENTMDLTURES GET INTO1'HE EYE RINSE IMNIPMATELY AND REPEATEDLY WITH *LOCATION WHERE WEIGHED j , f , <br /> WATER FOR 15 MINUTES AND GET PROMPT MEDICALATTENTION <br /> KEEP OUT OF RFACH OF CHILDREN J (SEE REVERSE FOR PLANT t D) START POUR END POUR <br /> SOLD TO SHIP TO <br /> l I ,i c LV JOB ARR PLANT <br /> TRUCK# BATCH TIME <br /> CUST# PROJECT# SHIP DATE *PLANT ORDER# CUSTOMER PO JOB/LOT# <br /> Mix# UNITS LOAD# QTY ORD D QTY SHIP D SLUMP yy USE DRIVER <br /> MIX DESCRIPTION CASH SALE <br /> UNIT PRICE UNIT AMOUNT <br /> PRODUCT QUANTITY UNIT DESCRIPTION <br /> a <br /> z <br /> a <br /> WATER ADDED AT START REV CERTIFICATE OF COMPLIANCE <br /> SUB TOTAL <br /> PLANT WE CERTIFY that the portland cement,chemical and mineral admMurea contaoW in 0%matenal <br /> GALS described below are trends aimed and com*with speagcabons for SALES TAX <br /> wnw.e FINISH REV <br /> JOB SITE CEMENT BRAVO TYPE D MILL LOC TOTAL <br /> GALS I,iiW.g CHEM ADMIX BRAND TYPE STAND BY TIME <br /> CYLS TAKEN SLUMP METER MANUFACTURER GRAND TOTAL <br /> MINERALAOMIX MFG R CLAS$ CUM TOTAL <br /> REMARKS ' u + U <br /> a <br /> r` <br /> AMERICAN TRANSIT MIX CO,)NC WEIGHMASTER CUSTOMER AGREES TO TEIMS 6 CONDITIONS ON REVERSE SIDE � <br /> I r �� '� �,'l I �✓ o <br /> DEPUTY REC'D BY X ` g I' LL <br /> BY - <br />
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