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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 S ey Inspection Rep �suRVEY REQUIRED) <br /> rje�. <br /> Stat of <br /> ornia <br /> CIWMB 831t(New 04/04) Comments Form <br /> Callfomia Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 2 / Inspection <br /> Site Suffix: 0 S 0 7 9 l7 d Report I 1 — 1 `z 3 Z Z <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 0 <br /> 1/l2r�J W��� v Q v�- �c Q`r�t T - <br /> Wcak \t-Nv\,P- MqMA)ASA5 , pavold <br /> ft S <br /> �► Vla,tli S Coy.ok� <br /> 42408 <br /> 1XIAhh Pj � Ej 11iZ_ 3 ®: <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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