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WP0043280
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MOORE
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15446
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043280
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Entry Properties
Last modified
9/12/2022 4:26:12 PM
Creation date
9/12/2022 4:18:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043280
PE
4366
STREET_NUMBER
15446
Direction
N
STREET_NAME
MOORE
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
02717020
ENTERED_DATE
5/9/2022 12:00:00 AM
SITE_LOCATION
15446 N MOORE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2022
Tags
EHD - Public
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Address: 15446 Moore Road, Lodi <br />ID: WP0043280 <br />�+ �, Prtlr <br />nliizng ue-eicr, r� - CYDSDEL: Y.UU <br />/ (209) 933-6999 <br />bN µM�pEgPVRGEp <br />m <br />Dispatch: (800) 464-6572 <br />LOAD #: 2 <br />r,0. Stockton, CA 95206 <br />KRiieriverco I <br />eGK 66061, <br />ARRIVE JOB START POUR <br />END POUR LEAVEl <br />So et�stDRIVE_R <br />PLANT ID LEAVEPLANT <br />STOCK <br />IRUCgID pHM•A� RDIECEN.P• - - PROJECT NAME LOT &BLOCK <br />PREVIOUS T <br />550342054 <br />S 0 cusrDMERPD.LP <br />/ <br />:U5r0 VEFACCrIp <br />_ <br />DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? <br />i <br />VALLEY DRILLING; 15446 MOORE RD <br />DRILLING <br />wEy <br />LODI <br />111) C/C <br />Description <br />Ordered''--.Oty;p 'Code F.oduct "'•' <br />9.Ir9. U0 509 10.3 SK. SAND SLURRY yd <br />55EFS EMERGENCY FREIGHT SURC14ARGE CY <br />Price EXT, <br />162.50 1 <br />10.00 <br />ADDED(ESTIMpTE,,C� �i�n, "� STANpBKA_Np UN1AADIN671nne -. �.cn umE MINUTES sue T+vrwc <br />SLUMP sAs�T <br />GAL Excess truck time will be assess d by dispatch at the current ADDITIONA - nntcr TOTAL 51.6 <br />GAL SLUMP rate per minute for orders exceeding flue (5) minutes per - (•,RAND TOTAL $1,67 <br />GAL <br />SLUMP cubic yard. <br />ESTEp SLUMP ACKNOWLEDGEMENT OF RECEIPT, WATER ADDED, & TERMS AND coNDITIONS ONWEBStTE_ <br />I SLUMP`- R_E[lU,., .. <br />j B.00 <br />Printed Name. <br />Signature: <br />E OFCONCR 'RtA4ED: Ro`EASra onta ace rows rsagree to theproperty ofohers aindemnify and saa result o1 suchldelRivreryFOR ADDITIONAL RELEASE pose a <br />...,, nono cs INFO W W WP65WARNINGS.CA.GOV- <br />9BY A_ tK/��u.!•'rr Printed Name: <br />Slgnature: Weighmaster Certi£ica <br />Digo ��o= measured or counted lay a weighmascet <br />azs to described commodit was weighed, _ as prescribed by Chapter <br />c¢RTIFY that the follow in i I, Y g <br />hose eiq..acuNcu ie o g <br />section izi 00)f lfa Div,, 4 5 of the California Californian Businessrity Of aand Professional Code, administer <br />r.e Divie"'n o .._._ ,__aw o£ thn ,._., c._-,� n....,-.-.e,.t of Food and Agriculture. pepUt <br />Naseem Ahmed, Registered Environmental Health Specialist <br />
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