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Environmental Health - Public
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3500 - Local Oversight Program
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PR0545289
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
2/11/2020 11:39:49 AM
Creation date
2/11/2020 8:33:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545289
PE
3528
FACILITY_ID
FA0003828
FACILITY_NAME
VAN BUSKIRK GOLF COURSE
STREET_NUMBER
1740
STREET_NAME
HOUSTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95206
APN
16307036
CURRENT_STATUS
02
SITE_LOCATION
1740 HOUSTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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b. FORWAQD 81TE U <br /> I N C 0 R P 0 R A T E D TICKET '-RID <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMAS' <br /> ER <br /> Manteca, CA 95336 Stockton, CA 95206 F!7;N C <br /> Landfill:(209)982-4298/WEIGHING LOCATION Main Office: (209)466 4482 DATE IN <br /> IN <br /> Resource Recovery: (209) 932-4936 Fax: (209) 465-0631 J"2TIME <br /> 7j <br /> DATE CUT TIME OUT <br /> C <br /> '�Rr- <br /> I E.W Vl")H <br /> D ATE <br /> IN <br /> GRID <br /> OU <br /> 4D A" E <br /> T <br /> A VEHICLE <br /> ROLL OFF <br /> NCTE.3T.03 5351L <br /> REFERENCE, F— <br /> RiGIN <br /> OF <br /> L <br /> L <br /> 41"ii-,:11 ThiWoJii- 4t .14 J.Z,.p <br /> 111E-ig��-)t. 7180 L <br /> ..UNIT.. DESCRIPTION RATE EXTENSION TAX TOTAL <br /> L <br /> -:01 <br />> <br /> WEIGHMASTERCEnfiCATE TH15 IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is <br /> on this certificate,who is a recognized authority of accuracy,as prescribed by Ch6lbter 7(commencing with Secticn 12700)of Division 5 of the California Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NAP10--",R 0"'C� NET AMOUNT <br /> -11 FE'=—T # <br /> 1 14 E;6 <br /> D <br /> El E TENDEAED <br /> S h e cj!-; -a 2 G W- f an-- :Ri�t I iq t t� 1�1 CHANGE <br /> C I I E!)CP �P'8 2--4 2. G t ci <br /> 4 <br /> CHECK NO. <br /> 4M <br /> DRIVER'S SIGNATURE j recycled paper <br />
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