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VAL DERVIN
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4700 - Waste Tire Program
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PR0524442
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COMPLIANCE INFO
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Last modified
1/22/2020 11:18:05 AM
Creation date
1/22/2020 11:00:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0524442
PE
4740
FACILITY_ID
FA0010179
FACILITY_NAME
Teichert Stockton Construction
STREET_NUMBER
265
STREET_NAME
VAL DERVIN
STREET_TYPE
PKWY
City
STOCKTON
Zip
95206
APN
19341008
CURRENT_STATUS
02
SITE_LOCATION
265 VAL DERVIN PKWY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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CField
Tags
EHD - Public
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Waste Tire SL ey & Inspection Repot SURVEY REQUIRE <br /> State of California ---�-- - _— <br /> Comments dorm <br /> CIWMB183 (New 04104) <br /> California Integrated Waste Management Board _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPIq Inspection <br /> Site 1 6 17 C� _ ® Report 2 - ` 2 0 3 <br /> Site Suffix: I Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Li , <br /> \0jZe,1?- b �20k3 10eSv� <br /> ����t•16\e44c <br /> 3 <br /> �2 LJ'f MS SecJlcc�, <br /> lvo�e.S� �,)'CeT-� cer�:�:��2 �,s civ. �Pta.y :�. '�r.,� ��•.up . <br /> wor_,c_ mac:\ n�w��`Y �es�a� re- y - s-- <br /> -- <br /> �,� <br /> 42408 <br /> JE XIAMIPILIEI 111Z73 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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