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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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16750
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1900 - Hazardous Materials Program
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PR0524103
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COMPLIANCE INFO
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Entry Properties
Last modified
11/20/2024 9:23:04 AM
Creation date
6/9/2018 2:17:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0524103
PE
1921
FACILITY_ID
FA0016194
FACILITY_NAME
CRYSTAL VALLEY CELLARS LLC
STREET_NUMBER
16750
Direction
E
STREET_NAME
STATE ROUTE 88
STREET_TYPE
(none)
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
Inactive, non-billable
SITE_LOCATION
16750 E HWY 88
P_LOCATION
99
P_DISTRICT
004
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\HWY 88\16750\PR0524103\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
7/6/2015 4:58:37 PM
QuestysRecordID
2790542
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FORM <br /> FACILITY INFORMATION <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION,PAGE 2 <br /> LOCALLY COLLECTED INFORMATION <br /> (05/07/2009- 12:02:25 PM) <br /> TYPE OF 138 UNSTAFFED SITE NETWORK 139 <br /> ORGANIZATION ❑Single Owner ❑Partnership <br /> ®Corporation ❑Public Agency NO <br /> ASSESSOR PARCEL NUMBER 140 NEAREST CROSS STREET 141 <br /> 019-150-35 DISCHE RD. <br /> PROPERTY OWNER NAME(If different from Business Owner) 142 1 PHONE NO. 143 <br /> COSENTINO SIGNATURE ENTERPRISES,LTD.,LLC 707-944-1220 <br /> PROPERTY OWNER STREET ADDRESS 144 PROPERTY OWNER CITY 145 STATE 146 ZIPCODE 147 <br /> 7415 HWY 29 YOUNTVILLE CA 94599 <br /> FIRE DISTRICT NAME 145 FIRE DEPT NO.149 FACILITY LOCK BOX 150 IF YES,WHERE IS IT LOCATED? 151 <br /> CLEMENT'S 6 YES THE FRONT POST ON A TRELLIS ON <br /> NORTHWEST SIDE OF THE TASTING <br /> NATURE OF BUSINESS 152 <br /> WINERY <br /> WASTE GENERATOR 153 IF YES,ENTER EPA NUMBER 154 <br /> NO N/A <br /> TRADE SECRET INFORMATION 155 SPILL PREVENTION AND COUNTERMEASURES PLAN PREPARED FOR FACILITY? 156 <br /> NO YES <br /> TRAINING PROGRAM INFORMATION 157 <br /> Does your business have an employee training program that includes initial training and annual refreshers? YES <br /> Does your business maintain written training records that show the training subject,date(s)of training, YES <br /> names and signatures of employees trained,and names of instructor(s)? <br /> BILLING ADDRESS It different from Mailing Address,otherwise leave blank <br /> BUSINESS BILLING ADDRESS 155 <br /> BUSINESS BILLING CITY 159 STATE 160 ZIP CODE 161 <br /> This area intentionally left blank <br />
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