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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
Scanner
CField
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EHD - Public
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STATE OF CALIFORNIA Natural Resources Agency-Cal/Recycle <br /> APPROVAL TRANSMITTAL Department of Resources Recycling and Recovery <br /> CalRec cle 85 Revised 112010 <br /> This transmittal MUST be on all correspondence that are reviewed/approved/signed by Dept Head,Executive Director or Chief Deputy 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 Three) Manuel Sandoval <br /> Xaviers Quality Tires <br /> NOTE: It is the originator's responsibility to enter each reviewer's name and title. <br /> ORIGINATOR Name: Manuel Perez Division/Section: Date: 6-11-14 Phone:324-6768 <br /> WPCMD/WEEB <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 /> 1st Reviewer/Tire llauler Compliance Name: Keith Cambridge Manager: <br /> Unit Supervisor <br /> Comments:_ Approved_ Approved with noted changes Disapproved <br /> SPI'Coordinator: Manuel Perez <br /> Revie is Signature: Date Phone: 341-6422 <br /> L <br /> 2nd Reviewer/VVPCMD Deputy Director Name: Mark De Bie Date Rec'd: Log in ID& Initial: <br /> Comments: Approved4 Approved with noted changes_ Disapproved <br /> Secretary: <br /> Reviewer's Signature: Date: Phone: 341-6209 <br /> �y <br /> 3rd Reviewer/ 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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