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ARCHIVED REPORTS_XR0008020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WEST
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3302
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3500 - Local Oversight Program
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PR0545872
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ARCHIVED REPORTS_XR0008020
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Entry Properties
Last modified
7/21/2020 4:18:12 PM
Creation date
7/21/2020 4:11:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008020
RECORD_ID
PR0545872
PE
3528
FACILITY_ID
FA0025947
FACILITY_NAME
JAYS MINI MART
STREET_NUMBER
3302
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11705037
CURRENT_STATUS
02
SITE_LOCATION
3302 N WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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F <br /> Mtn T�.. .h Jt t ti Fait i/r,./J' {t Y <br /> 1 1 R f 4 it � It •t <br /> �► �Nt '7'�T`p ORATED SITETICKET GRID . <br /> 9991AdUth Austlw"Wad/wEIGHING LOCATION Pb-BOK036 wElo MASER <br /> M <br /> 95336 Stockton,CA 95206 V, 0 <br /> u , <br /> LanfflW.(209)1982-4298/waiHING LOCATION Main Office.(209) 466-4482 DATE IN 4" TIME IN r`_ <br /> Resource Recovery:(209),9$2-4936 Fax, (209)465-0631 - <br /> ea4871 1 TIME OUT .< F <br /> STOCYTOU, FETROLEUN gOMPANY r� , <br /> JAY MCLL.RATH r--"' _VEHICLE ROLL OFF- z <br /> 1905 NAVY DRIVE <br /> " STOCKTON' CA 9528.6 RE ORIGIN ` <br /> 648711 ISTOCICTON PETROLEUM CO <br /> Zct 1e 1 GrOss Weight 79120 LS Inbound Charge ticket <br /> Seale E Tare Weight 30260 L B <br /> CITY UNI DRATE EXTENSION TAX TOTAL <br /> 24.43 TONS Class 11 803. 1 by Ton <br /> " 1 , <br /> f <br /> t <br /> WEIGHMASnR CEIMFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured or counted by a welghmoster whose signature is <br /> on this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> and F'rOfesslons Code administered tbythe Division of Measurement Standards of the Collfomla Departure of Foo¢ane AgrlcuRure <br /> MAN-IFiST' b24 ►g1 `t ' NET AMOUNT <br /> TRUbe, 4 I r , <br /> r TENDERED <br /> TRA I�E'R 4' 1 VV88? <br /> Schedule 24 hors iA adVAi cd dIrOctly with the landfill . CHANGE: <br /> Call (209 )98e-4298 to SthadU 1 e. <br /> Di-Ave Saf e l y I ! <br /> [____PCLHr=C;K No <br /> Y , <br /> DRIVER'S SIGNATURE --' �-^-4���►�1'c! d Pemex r, <br />
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