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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547866
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
1/18/2023 2:14:13 PM
Creation date
8/2/2022 7:42:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547866
PE
1635
FACILITY_ID
FA0027283
FACILITY_NAME
SISIG NI GG #4UZ5277
STREET_NUMBER
1717
Direction
S
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
16904012
CURRENT_STATUS
01
SITE_LOCATION
1717 S UNION ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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DocuSign Envelope ID:03FB477F-37DD-4COB-827E-F8C817ABE377 <br /> EUstinG 5m <br /> services PRODUCT LISTING <br /> PO Box 57731 • Salt Lake Citv, UT 84157-0731 • USA • Phone 801 262 1868 • Fax 801 262 2363 • www.TEi-LS.com <br /> Issued To: Custom Roto-Molding, Inc. <br /> 307 Evans Street <br /> Caldwell, ID 83605 <br /> USA <br /> Phone: 208-459-1944 <br /> Fax: 208-459-1890 <br /> Listing Number: 16928 Listed Since: 1997-04-14 <br /> Last Revision: 2019-09-20 <br /> RV Plumbing Tanks —Wasteholding Tank Flushing Systems <br /> Certification IAPMO TS 27—Wasteholding Tank Flushing Systems for Recreational Certification Mark: <br /> Standards: Vehicles <br /> Product RV Holding Tank Flushing System <br /> Description: <br /> Model Numbers: HTFK-1 ®I <br /> Listing Conditions: 1. For Recreational Vehicle use only. C US <br /> 2. Product must be installed and operated in strict compliance with all 16928 <br /> applicable codes, laws, and regulations having the force of law. <br /> 3. The unit must be installed, operated, and maintained in strict <br /> compliance with the manufacturer's instructions. <br /> The TEi-LS RV Component Certification Program is a"Type 3"certification program,as <br /> defined in ISO Guide 67. <br /> This Product Listing covers only those products under contract with TE-Listing Services.No <br /> ACCR D alteration to this document is authorized.TE's trademark is registered and its use is by <br /> contract or written permission only.ABUSE and/or IMPROPER USE OF THE PRODUCT <br /> PRODUCT CERTIFICATION BODY VOIDS THE LISTING. <br /> CERT#2946.01 <br /> TEi-LS Form LS307 Page 5 of 6 <br /> Revision 20120613 ©2012Testing Engineers International,Inc®. <br />
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