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EHD Program Facility Records by Street Name
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AVENUE 13
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28777
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4200 – Liquid Waste Program
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PR0536480
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COMPLIANCE INFO
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Entry Properties
Last modified
12/3/2020 4:31:24 PM
Creation date
8/5/2020 10:00:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536480
PE
4246
FACILITY_ID
FA0020673
FACILITY_NAME
KALIFORNIA GOLD AG SERVICES
STREET_NUMBER
28777
STREET_NAME
AVENUE 13
City
MADERA
Zip
93638
CURRENT_STATUS
02
SITE_LOCATION
28777 AVENUE 13
P_LOCATION
98
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\A\AVENUE 13\28777\PR0536480\INSPECT CORRESPOND.PDF
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EHD - Public
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E — - O! -T'A TY.PE LICENSE NUMBER <br /> COML li/301101`0 TO 11/30/2011 31 7R77523 <br /> 5TBJU321X5S442345 TOYT <br /> 3J]v i'P4 V.gCB_ CVIS DATE FIRST SOLD CLASS 'YR Yc MaEel <br /> PK 00/00/2004 AN 2010 2005 <br /> -='E C-IED I TYPE/EH I MG A% WC UNLAOENADCOW TOTAL FEES PAID <br /> 10/22/2010 32P G 2 C 03687 $134 <br /> 2000 <br /> CHAVEZ JOSE CACHO <br /> 28777 AVE 13 <br /> MADERA CA 93638-5904 <br /> W0024 <br /> R005L <br /> N L0024 <br /> H <br /> 0 <br /> 0 144101120100543 <br /> STATE OF CALIFORNIA ' <br /> DEPARTMENT OF MOTOR VEHICLES 0 4 5 5 4 7 41 <br /> VALIDATED REGISTRATION CARD <br /> -FAD REVERSE SIDE-IMPORTANT INSTRUCTIONS <br /> NAIL# 22268 CALIFORNIA <br /> PROOF OF FINANCIAL RESPONSIBILITY CARD <br /> INFINITY INSURANCE COMPANY <br /> PO BOX 830189 BIRMINGHAM AL 35283-0189 <br /> YEAR MAKE/MODEL VEHICLE ID NUMBER <br /> 1995 FORD /F150 1FTEX14M2SKB76746 <br /> 2005 TOYOT/TUNDR STBDT44125S477626 <br /> 2002 CHEVR/S10 1GCDT13W12K188310 <br /> POLICY NUMBER NAME R ADDRESS OF INSURED <br /> 017371519-00 JOHN MERAZ CHAVEZ <br /> 28777 AVENUE 13 <br /> EFFECTIVE DATE MADERA CA 93638 <br /> AUG 16, 2010 <br /> EXPIRATION DATE DRIVERIS): JOHN CHAVEZ <br /> SANTOS MOLINA <br /> AUG 16, 2011 JOSE CHAVEZ <br /> THIS CARD SHOULD BE KEPT IN THE VEHICLE WITH THE <br />
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