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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4040
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2900 - Site Mitigation Program
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PR0545496
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Last modified
3/24/2020 3:28:51 PM
Creation date
3/24/2020 3:05:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545496
PE
2957
FACILITY_ID
FA0003564
FACILITY_NAME
BLUE STAR
STREET_NUMBER
4040
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15727503
CURRENT_STATUS
02
SITE_LOCATION
4040 E MAIN ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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14-912 <br /> ®`vRE�3® F'�IP_LuAh1®PrILL, INC. OaIG— Iri ar- E---' <br /> Suisun, 445£5 <br /> 3676 Potrero Hills Lane, ; fr••(707)4Ar <br /> 32 4627 J0TUCK Ll(;.NO- <br /> ewRO - <br /> pf different trom customer) ; Net wt. <br /> tare= _- r <br /> gross- <br /> Weif7ht: <br /> tons x S <br /> per ton <br /> cu.yds. x $ <br /> percu.yd. = 5 <br /> Other <br /> Other - = S <br /> _— x S� <br /> per yd/ton/load/__-- <br /> Fee 01 <br /> pricing and mall,subject to office verification. – <br /> E-' <br /> Notes <br /> Driver's Name(Print), '•� , <br /> ydelghmaster's Signature <br /> OrNer's Signature _�__ -• ----- – <br />
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