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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WIGWAM
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2501
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4700 - Waste Tire Program
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PR0524555
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COMPLIANCE INFO
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Last modified
3/16/2020 11:43:47 PM
Creation date
3/16/2020 1:17:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0524555
PE
4740
FACILITY_ID
FA0009220
FACILITY_NAME
ROBERT BURNS CONST INC
STREET_NUMBER
2501
Direction
N
STREET_NAME
WIGWAM
STREET_TYPE
DR
City
STOCKTON
Zip
95205
APN
13208015
CURRENT_STATUS
02
SITE_LOCATION
2501 N WIGWAM DR # 5
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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CField
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EHD - Public
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4:1147.1 IN <br /> ANNW0RK ORDER #: 2006181 <br /> sTooxTom. oxo52o1 <br /> — TIRE p�o� aox �oea 'PAGE: 1 <br /> u/uo TIME STARTED: 12:59: 12 <br /> 0noW�d.\�/���0�'`' `���Wd��Q�AS207 <br /> PH( PH 477-9000FAX(209)�44"-444—i8/0A<(209)477'5742 <br /> CUSTOMER: ROBERT BURNS CONSTRUCTION <br /> 2501 WIGWAM <br /> 7065 <br /> ` ^~� <br /> STOCKTON, CA <br /> 95205 <br /> FAX NUMBER: 209,943. 1718 ' <br /> WORK: 209/943-6969 0 ` <br /> VEHICLE: KENWORTH WATER TRUCK <br /> SALESMAN: JUAN CHAVEZ LICENSE: NO—VEHICLE _ <br /> VIN: 1 � <br /> WRK ORD DATE: 10/05/11 DUE: 11 /10/1l <br /> ----------------------------------------------------------------------------- <br /> ` DUCT LCT DESCRIPTION QUANTITY PRICE EXTENSION <br /> _____________ <br /> _ <br /> �A0019 0 285/75R245 GbODRIDE CM983 DR C/S 8 290.00 2522.2 <br /> � <br /> , FET: 25.28 <br /> S-1200 0 MEDIUM TRUCK' DISMT/MT 8 0.0 <br /> STFEE 0 STATE TIRE RECYCLING 8 1 .75 14.0 <br /> ' <br /> � MERCHANDISE: 2320.00 <br /> .�_ OTHER: 14.00 <br /> F.E.T. : 202.24 <br /> SALES TAX : 195.47 <br /> WORK ORDER TOTAL: 2731 .71 <br /> The Brannon Tire shop labor rate is $89.00/hr . <br /> THANK YOU FOR CHOOSING BRANNON TIRE --- WE APPRECIATE YOUR BUSINESS <br /> ' <br /> .. <br /> Customer Signature <br /> ` Printed Name: <br /> AUTHORIZED BY RECD BY MANNER RECEIVED <br /> PHONE — DATE / / TIME : AM/PM <br /> REVISED TOTAL: . DESCRIPTION <br /> PRIOR TOTAL: . FOR AN INCREASE OF: <br /> I hereby authorize the repair work to be done along with the necessary material, and hereby grant you and/or your employees,permission to operate the vehicle herein describe <br /> on the streets, highways or elsewhere for the purpose of testing and/or.inspection. An express mechanic's lie~~ ~ hereby acknowledgedon above vehicle, to secure the ~... <br /> ofrepairs thereto.You will not»vheld responsible for loss mdamage mthe vehicle marticles left inthe vehicle in case offire,theft,accident many other cause beyond your uonto <br /> Thank You for business.�� business. ��et�Xr0ie lug nuts after 50 miles. <br /> � <br /> By signing ,moxuommv u�c�mmv~service mhrperformed.Brannon Tire isnot responsiblefor any item left in the vehicle.Any changes mthe estimated charges will L <br /> approved before any work/odone. Brannon Tire will charge a late fee of 11/2%per month up,to a total of 18%per year on all invoices not paid by the terms on the invoic <br />
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