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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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4 (STATE ROUTE 4)
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21334
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3500 - Local Oversight Program
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PR0545187
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FIELD DOCUMENTS
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Last modified
11/20/2024 9:09:21 AM
Creation date
1/23/2020 10:43:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545187
PE
3528
FACILITY_ID
FA0007159
FACILITY_NAME
KINGS ISLAND
STREET_NUMBER
21334
Direction
W
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95206
APN
12919002
CURRENT_STATUS
02
SITE_LOCATION
21334 W HWY 4
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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CUSTO R COPY q <br /> RMC LONESTAR <br /> WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a <br /> weighmaster,whose signature is on this certificate,who Is a recognized authority of accuracy,as prescribed by <br /> Chapter 7 (commencing with Section 12700) of Division 5 of the Califomia Business and Professions Code, <br /> administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> DATE RMC LONESTAR WEIGHMASTER TIME <br /> 06/18/96 Clark, VaIarie DEPUTY 06:40 <br /> CUSTOMER ID OUR ORDER NO. CUSTOMER.ORDER NO. SHIPPING NUMBER <br /> 04115 83ilb. 320449 <br /> SOLD TO: DELIVERED TO: <br /> °FST(-:+i T EiXJVIRJIJMEIUTI=i(._ SVCS :[Nf CLIFTON COURT <br /> 220 CG.*MERCIAL DRIVE BYR01`4 i <br /> iUS_fE 5 � <br /> ?}.jai.:`s , CA 9537E- <br /> t <br /> by %iT;. <br /> PRODUCT NO. PRODUCT DESCRIPTION ! <br /> _d r S• <br /> 1515 GRAVEL- 5/16 X 1/8 � ' <br /> i <br /> HAULER NO. HAULER DESCRIPTION <br /> 999 CUSTOMER TRUCK BOB. HARKRADER H73 I <br /> 1� OUR TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS TODAY <br /> WEIGHED AT:(SEE REVERSE SIDE FOR PLANT I.D.) <br /> WEIGHTS <br /> Ker1 inger^ _ 114 <br /> SCALE NO. DRIVER ON OFF NET; TC Pli <br /> I� <br /> NET LBS: �122 Zt <br /> RECEIVED BY: TARE LBS: 29440 I <br /> l * Manual Weight <br />
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