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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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B
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BLACK DIAMOND
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916
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2200 - Hazardous Waste Program
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PR0513623
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COMPLIANCE INFO
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Entry Properties
Last modified
12/5/2018 10:41:54 AM
Creation date
10/31/2018 10:21:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0513623
PE
2220
FACILITY_ID
FA0009078
FACILITY_NAME
FREIHS AUTO REPAIR
STREET_NUMBER
916
STREET_NAME
BLACK DIAMOND
STREET_TYPE
WAY
City
LODI
Zip
95240
APN
04917016
CURRENT_STATUS
02
SITE_LOCATION
916 BLACK DIAMOND WAY B
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BLACK DIAMOND\916\PR0513623\COMPLIANCE INFO\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
8/12/2013 8:00:00 AM
QuestysRecordID
2036128
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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\1 iiii MAC01►e <br /> AZ Store# DATE <br /> 5� a4 <br /> CUSTOMER NAME Fre l�S <br /> CUSTOMER PIN <br /> M RETURN FOR CREDIT <br /> O PAYMENTS Cl CHECK # O CASH $ <br /> O TEMPORARY INVOICE <br /> O OUTSIDE BUY - CASH $ <br /> OTY. PART# DESCRIPTION.. AMOUNT ✓ <br /> NEW DEF.. COR 1 <br /> I � y <br /> I <br /> CREDIT WILL BE SUBJECT TO OUR INSPECTION. SOME CREDITS WILL BE <br /> SUBJECT TOFACTORYAPPROVAL.THIS FORM IS A MEMO ONLY. <br /> w1-2 � <br /> CUSTOMER SIGN TURE CHECKED ATSTORE BY <br /> UR <br /> DRIVER'S SIGNATURE RGP 55097857 <br /> REV,W= SKU#Mom II IIIIIIIIIIIIIIIIIIIIIIIIIII'I III <br /> LEAVE WITH CUSTOVER AT TIME OF <br />
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