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4700 - Waste Tire Program
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PR0528072
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COMPLIANCE INFO
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Last modified
9/9/2019 11:34:56 AM
Creation date
2/28/2019 11:20:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0528072
PE
4740
FACILITY_ID
FA0010467
FACILITY_NAME
Medline Industries- B46/ C46
STREET_NUMBER
400
STREET_NAME
DARCY
STREET_TYPE
PKWY
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
400 DARCY PKWY
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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■ ;_:;, Waste Tire � V@y Inspection R@[ rt SURVEY REQUIRED ■ <br /> iiia State of California <br /> CIWMB 183 <br /> ,New 04/04) <br /> Comments Form --_-.-- <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: ) Report �E— <br /> � 1 Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ac r�lYLl✓ M.s®'P-C'fi can <br /> GzApLimq <br /> or Aif ats r4- 6�nC te?t yu& - <br /> Q r t vic e <br /> In -fL'.r i-/Z-II re-� kc3 +,tt <br /> (4)4o C.I R)o--YL, X7'`5 care d��; ,��-�1 u i nrn>�►� i <br /> vel _ ��,T 1 mci <br /> 6 ,cue�� !-cam <br /> akr— CSI.. )a ai-» <br /> CAIS v fir 4inii C41X C-4' <br /> ,e . <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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