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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0525129
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COMPLIANCE INFO
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Last modified
11/12/2019 10:44:33 AM
Creation date
7/22/2019 4:13:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0525129
PE
1958
FACILITY_ID
FA0016944
FACILITY_NAME
BROWNSLAKE SHOP
STREET_NUMBER
17576
Direction
E
STREET_NAME
RIVER
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24520031
CURRENT_STATUS
01
SITE_LOCATION
17576 E RIVER RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SAFETY TRAINING LOG <br /> I certify that lha,,employee listed,below received Salfety Training in the subje {s) as indicated. <br /> Company: \J ; v� �� cr✓Cl <br /> Date of Trainin . <br /> : <br /> Subject s <br /> 1 ( ) l-�✓I� / .� r�i c /��cJa�r lGrrS <br /> Tiltle f�,lm o sl l�t,Premt n to empJ ees: �/r� t Q <br /> /Q , _ ,p <br /> I��S c ,cCt�Y�'i'rrc.yti ,c JU Q✓� cli hdai <br /> ✓�tS rnerj 4Mt ��r�©Attached is an �utline ess#+c i e t �dls s ed in t rgin►nr, ram al m I Chandouts, if any: �(��vv�` �//� .� Q �, 4 ��i <br /> Instructor's Signature: j <br /> Instructor's Name (Please Prin <br /> EM-093igg NaMe folease rint) Empf2yee Signature <br /> 1, t013Al--Z" U4 0C 1401) � <br /> Or—PoA <br /> AaDl <br /> f?1 e <br />
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