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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MARIPOSA
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2373
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4700 - Waste Tire Program
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PR0524342
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COMPLIANCE INFO
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Entry Properties
Last modified
4/9/2020 1:44:03 PM
Creation date
4/9/2020 11:10:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0524342
PE
4740
FACILITY_ID
FA0009394
FACILITY_NAME
MAXIM CRANE WORKS
STREET_NUMBER
2373
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
Rd
City
Stockton
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
2373 E Mariposa Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
CField
Tags
EHD - Public
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• • 11-4 i <br /> •• • <br /> •. Mral • • •• i <br /> Up <br /> Pick <br /> -- Delivery 2 <br /> 4656718 A 0 EdER- F--1 <br /> Facility Telephone Number <br /> 4) Hauler Tire Program ID / Site Suffix DATE <br /> ay ® _ <br /> w <br /> w Whole Tire Count ❑Weight in Lbs. r77 <br /> I ❑Volume Cubic Yds. ❑Weight in Tons i QAi/ r <br /> G iaulEs Nacrie <br /> �. <br /> 3 <br /> F V Q <br /> E00EM'w'M' 17 .'�C�f Initia s <br /> ep�'JI,Q r';Q�1IiJ lll�@Y (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> l/'/L//'/•'/7L//// Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE / <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> - Program <br /> Comprehensive • •• • Load • • <br /> 4 6 5 6 7 5 8 -- Pick Up Delivery , �IHPEE ®-9 ❑Q s 0 <br /> 0 <br /> a, Facility Telephone Number <br /> U <br /> d Hauler Tire Program ID / Site Suffix ' ❑ <br /> DATE ,❑.0 / ❑ Z '� 1 — <br /> . - 2 00 oo�© oao � <br /> a w Whole Tire Count '❑Welght mr Lbs. <br /> o <br /> t' O ❑Volume Cubic Yds ❑Wgightin•Tons <br /> �Z Pac `tr �FVG <br /> o Hauler Name P SM 9tclit CA <br /> U llI"] a 1 ■ ❑ Address Same as mauler Initials <br /> Hauler Tel /hicnp Nut bleb (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE r�_ <br /> 44 7 / 2- <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> l INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suff ix <br /> 4656757 -- A Pick Up ❑ Delivery (❑ © � � � � �—� ❑ <br /> Hauler Tire hone Number <br /> Facility Tele Program ID / Site Suffix DATE <br /> g p <br /> aoa- aaooao <br /> CL Pj Whole Tire Count ❑ Weight in Lbs: / <br /> ❑ Volume Cubic Yds. ❑Weight in Tons <br /> E ? tiaiTa 373a/'r�P�Sa Q� <br /> CX <br /> ODDEEE <br /> "i-e Mui?ih ee- ■ j� Addrass Sarre as Hauler Initia — <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> l <br />
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