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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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335
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4700 - Waste Tire Program
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PR0528210
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COMPLIANCE INFO
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Entry Properties
Last modified
4/29/2020 10:14:23 AM
Creation date
4/27/2020 4:19:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0528210
PE
4740
FACILITY_ID
FA0019091
FACILITY_NAME
MIDAS AUTO SERVICE CENTER
STREET_NUMBER
335
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
335 E KETTLEMAN LN STE A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
CField
Tags
EHD - Public
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■ - *t SURVEY REQUIRED <br /> Waste Tire S vey & Inspection Rei , ■ <br /> ----- <br /> -.::,.. <br /> ---�_ Stateof California Comments Form - --------_--- <br /> CIWMB 183 (New 04104) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- a Inspection <br /> Site Suffix: J l 0 / Report I — 7 6 3 -5 0 <br /> l Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> U <br /> i A <br /> 11 <br /> Q c <br /> A9 til t-J mgr z J� A e\ 0" 11 I -- <br /> � <br /> �Q 4 LIM Ll-ems 'AC ` LawZ°��C c A <br /> _ = s IVU :AT 7Y1 If a <br /> 42408 <br /> � }� � �MIP ILIE' f 23 i ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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