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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CLARK
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4421
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4700 - Waste Tire Program
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PR0523565
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COMPLIANCE INFO
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Entry Properties
Last modified
1/3/2019 11:05:20 AM
Creation date
1/3/2019 9:48:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0523565
PE
4740
FACILITY_ID
FA0015909
FACILITY_NAME
KENNEDY AUTO CO
STREET_NUMBER
4421
Direction
E
STREET_NAME
CLARK
STREET_TYPE
DR
City
STOCKTON
Zip
95215
APN
17917115
CURRENT_STATUS
02
SITE_LOCATION
4421 E CLARK DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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CField
Tags
EHD - Public
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" Waste Tire S ✓ey & Inspection Rep_ t SURVEY REQUIRED <br /> •'.: State of California <br /> W; <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: l 6A (� , O l Report I /� - /l Qt ey L/ / <br /> Number: �L t l 1 t� <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 121 A7j�Ag <br /> Lam?Gt✓Q S <br /> 1L, Qe d94nrVMe Com)` 1111 <br /> /-ls-13 /0 -(-7 - 1-3 <br /> �-►L1.4�S/`1��Z� lU t3 rt'lcc✓L�Z✓��-►3.-�G ��'1�c-S�-i r VP �l t Z IT.�_ <br /> I, vee SLC S rn,- ^IqA-.,�1C C 3 -��YV► c\ <br /> (�n CD <br /> V'\.�V2�� �(�.S� _ ►�/L �e 1� � fin,VI.CJ --j�Cj�..0-�G GL I/GL t �G�� <br /> �c7�' 1 Y15�2L�� G. i✓i. �VL !h'1yYr� © � fi��. <br /> cyl� tel° C,1VV�-•_2 eAd_S L - <br /> 42408 <br /> JE XIA MIPILIE1 1112n3 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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