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4700 - Waste Tire Program
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PR0523138
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COMPLIANCE INFO
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Last modified
9/12/2019 11:21:11 PM
Creation date
9/12/2019 3:52:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0523138
PE
4740
FACILITY_ID
FA0010595
FACILITY_NAME
HOLT OF CA
STREET_NUMBER
1234
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16320004
CURRENT_STATUS
02
SITE_LOCATION
1234 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
CField
Tags
EHD - Public
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' Waste Tire S` ey & Inspection Rep SURVEY REQUIRED1 <br /> •••�-�_ State of California J <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: ` 2 2 d Report = ` - ` 'Z O 3 7 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ojv �-- _C:L c LuC Ate/ . - <br /> .so <br /> N&N-0 �- a4 <br /> �:ce ose- be'_•c� :c1R e�. we "se— Nt 43,%rc ow VN <br /> ^C QST gc .� e, <br /> 3 <br /> ,Sl�'S <br /> 42408 <br /> E :� r� hit PL E111Z73 <br /> � f <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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