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COMPLIANCE INFO_2001
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2231-2238 – Tiered Permitting Program
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PR0547699
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COMPLIANCE INFO_2001
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Last modified
5/17/2022 2:54:40 PM
Creation date
5/17/2022 2:44:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001
RECORD_ID
PR0547699
PE
2238
FACILITY_ID
FA0027159
FACILITY_NAME
TEMPORARY HHW COLLECTION FACILITY PBR
STREET_NUMBER
5151
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
5151 PACIFIC AVE
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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ACILITY NAMEelta College D NUMBER AH111000207 <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />III. OPERATOR CERTIFICATION (PUBLIC AGENCY) <br />"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in <br />accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. <br />Based on my inquiry of the person or persons who manage the system, or those directly responsible for gathering the <br />information, the information is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there <br />are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing <br />violations." <br />Name (Print or Type) <br />ALISON HUDSON <br />JANUARY <br />DTSC 8464 (9/92) Page of 4 <br />F&ADMINFORMSTBR FORM <br />
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