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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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1900 - Hazardous Materials Program
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PR0521135
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
1/27/2022 2:13:56 PM
Creation date
6/11/2018 6:09:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0521135
PE
1921
FACILITY_ID
FA0012979
FACILITY_NAME
FLYING J TRAVEL PLAZA #617
STREET_NUMBER
15237
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
Rd
City
Lodi
Zip
95242
APN
02519014
CURRENT_STATUS
01
SITE_LOCATION
15237 N Thornton Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
FilePath
\MIGRATIONS\T\THORNTON\15237\PR0521135\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
12/22/2016 10:24:20 PM
QuestysRecordID
3288057
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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We <br /> oPgUtty C COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES <br /> _ ? 2101 E.Earhart Avenue, Suite 3001 <br /> a: a <br /> Stockton,California 95206 <br /> -- <br /> Telephone:(209)953-6200 <br /> 0 <br /> 4(.iFO* Fax: (209)953-6268 <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION FORM <br /> B I NA I ADDRESS(Facilit eing Insp ted) <br /> ACCOUNT# START A E(New Bus)JINSPECTION DATE JARRIVALIMPE 13811AKTURE TIME IN PE O NA <br /> NSPECTION RESULTS <br /> DOCUM NT REVIEW YES NO FACILITY WALK THROUGH NO <br /> 1.HMMP/Map On Hand and Easily A ssible 5. Facility Map Complete and Accurate <br /> 2.Business Identification Pa omplete&Accurate 6. Employees Familiar with <br /> 3.Business HMMP plete and Accurate 7. Training Reco vailable <br /> 4.Chemical scnption Pages Complete and Accurate 8. Un Conditions Observed(see details below) <br /> EXPL ATION OF FINDINGS AND COMMENTS <br /> OR MANt2Z <br /> 1 <br /> INSPECTION FOLLOW UP INFORMATION <br /> Corrective Actions Additional <br /> To Be Submitted By: Referrals/Notes: <br /> ACKNOWLEDGEMENT OF REVIEW AND RECEIPT OF INSPECTION SULTS <br /> Business Representative(Print Name and Title) mess Repr a ve t lure) <br /> WIII'I'E COPY: OES <br /> �C�f� D 2 ��V���VU PINK COPY: BUSINESS <br /> v �V Flo <br />
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