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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3131
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4700 - Waste Tire Program
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PR0526725
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COMPLIANCE INFO
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Last modified
7/2/2019 11:01:33 AM
Creation date
7/1/2019 3:19:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526725
PE
4740
FACILITY_ID
FA0010096
FACILITY_NAME
BROOKSIDE GOLF & COUNTRY CLUB
STREET_NUMBER
3131
STREET_NAME
BROOKSIDE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
11811036
CURRENT_STATUS
02
SITE_LOCATION
3131 BROOKSIDE RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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CField
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EHD - Public
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k <br /> _Waste Tire4Wey & Inspection RQ4t [ SURVEYREQUIR+-+�• State CIWM f 83 California ) Comments Form <br /> CIWMB 183 New 04/04 <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection 3 <br /> 4 �Q ( � _ Report <br /> Site Suffix: 1 -\ lJl � "' � v � Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> I 1 <br /> 14S�c� 1r,s C,�1 ��lef r✓uT t��i c� �)-A— <br /> 1» u 5� <br /> ; , C_ <br /> 4 fi p� ( 1.1..1 ?,-113 <br /> 42408 <br /> i ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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