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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1941
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1900 - Hazardous Materials Program
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PR0519721
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COMPLIANCE INFO
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Entry Properties
Last modified
12/13/2018 12:01:29 PM
Creation date
6/10/2018 12:04:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0519721
PE
1921
FACILITY_ID
FA0003674
FACILITY_NAME
BANK OF STKN AIRPORT HANGAR #3
STREET_NUMBER
1941
Direction
E
STREET_NAME
LOCKHEED
STREET_TYPE
CT
City
STOCKTON
Zip
95206
APN
17726034
CURRENT_STATUS
01
SITE_LOCATION
1941 E LOCKHEED CT
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\L\LOCKHEED\1941\PR0519721\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
10/31/2017 11:08:33 PM
QuestysRecordID
3713524
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Ak <br /> VV <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION FORNr SIDE 2 <br /> BUSINESS MAILING AND BILLING INFORMATION <br /> MAILING ADDRESS(41) /� <br /> (If different from Site Address) tTj <br /> NOTE: All time sensitive and Street No. Direction Street Name t <br /> official correspondence will JAN 12 2001 <br /> be sent to this address Cj] ctc'l q —zE� i <br /> CITY STATE ZM JOAQUIN COUNTY <br /> N Hee OF EMER8ENeY SE, <br /> S <br /> BILLING ADDRESS(42) <br /> If different from above, <br /> include"Care of information <br /> ADDITIONAL BUSINESS INFORMATION <br /> TYPE OF ❑Single Owner ❑Partnership UNSTAFFED SITE NETWORK(44) �yF.S NO <br /> ORGANIZATION (43) PqCorporation ❑Public Agency <br /> ASSESSOR PARCEL NO. (45) <br /> OC � <br /> PROPERTY OWNER (46) PHONE NO. (47) <br /> NAME <br /> (If different from Business Owner) <br /> PROPERTY OWNER (48) <br /> ADDRESS <br /> D _5e) i 'x"'211 \.U1�'` <br /> Street Address <br /> CITY STATE ZIP <br /> FIRE DISTRICT 9) <br /> NEAREST CROSS (50) <br /> STREET <br /> FACILITY (51) �� IF YES, <br /> LOCK BOX ❑YES ®NO WHERE IS IT LOCATED?(52) <br /> NATURE OF BUSINESS (53) <br /> WASTE GENERATOR (54) �� IF YES. <br /> ❑YES NO WHAT IS YOUR EPA NO.?(55) <br /> TRADE SECRET (56) SPILL PREVENTION (57) <br /> INFORMATION (� AND COUNTERMEASURES <br /> PLAN FOR THIS FACILITY <br /> TRAINING PROGRAM INFORMATION <br /> Does your business have an employee training program that includes initial training and annual refreshers'? (58) �yES NO <br /> Does your business maintain written training records that show the training subject,date(s)of training, (59) ❑ <br /> names and signatures of employees trained,and names of instructor(s)? YES NO <br /> 12/00 <br />
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