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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4700 - Waste Tire Program
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PR0526145
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COMPLIANCE INFO
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Last modified
2/12/2020 11:54:56 AM
Creation date
1/4/2019 3:03:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526145
PE
4740
FACILITY_ID
FA0017692
FACILITY_NAME
XAVIERS QUALITY TIRES
STREET_NUMBER
907
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21760027
CURRENT_STATUS
02
SITE_LOCATION
907 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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CField
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EHD - Public
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0 • <br /> STATE OF CALIFORNIA Department of Resources Recycling and Recovery(CalRecycAe) <br /> APPROVAL TRANSMITTAL <br /> CalRecycle 85 (Rev.2110) <br /> This transmittal MUST be on all correspondence that are reviewed/approved/signed by the Director,Chief Deputy Director, <br /> Deputy Director,or Program Director <br /> **Please use the following colored folders: Red Folders for signature - Blue Folder for review** <br /> Name of Document: Waste Tire Hauler Streamlined Penalty Letter(Phase One) Manuel Sandoval <br /> Xaviers Quality Tires <br /> ORIGINATOR Name' Ken Kawada Division/Section:. Date:5/15/2014 Phone: 341-6084 <br /> WPCMD/WEEB <br /> NOTE: It is the originator's responsibility to enter each reviewer's name and title. <br /> ACTION: Please review the attached document,complete and sign the appropriate Reviewer Block and forward to the next Reviewer. If <br /> you are the last or only Reviewer,please return to the Originator. PLEASE DO NOT RETAIN FOR MORE THAN 2 WORKING DAYS. <br /> l't Reviewer/WEEB Branch Chief Name:Georgianne Turner Title: <br /> Comments: ❑ Approved[✓]� Approved with noted changes❑ Disapproved❑ <br /> Secretary: <br /> Reviewer's Signature: Date: Phone:341-6429 <br /> a LJ�� I I� <br /> 20d Reviewer/Branch Manager Name: Title: <br /> Comments: ❑ Approved❑ Approved with noted changes❑ Disapproved❑ <br /> Secretary: <br /> Reviewer's Signature: Date: Phone: <br /> 3'd Reviewer/Division Chief Name: Date Rec'd: Log in ID&Initial: <br /> Comments: ❑ Approved❑ Approved with noted changes❑ Disapproved❑ <br /> Secretary: <br /> Reviewer's Signature: Date: Phone: <br />
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