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4700 - Waste Tire Program
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PR0523138
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COMPLIANCE INFO
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Entry Properties
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 ,( & Inspection Rep SURVEY REQUIRED <br /> .=t <br /> 1L1State of California <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: J �� ;� t'� Lt Number: I °4 <br /> Report � � 47 F <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> G /(/I 1 5 l� <br /> G <br /> 11 <br /> ��-j v mak&,•1^t-✓ juIcl o L TxAa lnsr dna-'Z_LAI—�) <br /> ��t,L �'lG,y�✓ WIUSf" CUri-�1Y,.—V'C � Y'1�[ � GL11 � !�l'[G�_l'�� <br /> rh��vl � �I3 q vrt✓�l�_� �_ �t��� a��o��r <br /> * Imo,&k "r3 VYI4)-a+ C S LI <br /> I 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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