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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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R
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ROBERTS
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12742
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4700 - Waste Tire Program
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PR0534900
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COMPLIANCE INFO
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Entry Properties
Last modified
4/4/2019 10:13:55 AM
Creation date
4/4/2019 9:58:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0534900
PE
4740
FACILITY_ID
FA0020181
FACILITY_NAME
COSTA FARMS
STREET_NUMBER
12742
Direction
S
STREET_NAME
ROBERTS
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
19115004
CURRENT_STATUS
02
SITE_LOCATION
12742 S ROBERTS RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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CField
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EHD - Public
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_ Wastes Tire SL :ey & Inspection Repot SURVEYS ate of Californi <br /> k-;- REQUIRED <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPI - Inspection <br /> Site f r <br /> Site Suffix: I J � � q g � 0 l Report 3 5 7- <br /> I ` — 1 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> CJ—VQ.� <br /> i�nSAeC�:o�• <br /> Cmc e c �5 1& o c�vc:INC 0.von <br /> 4Cv S • V 0\40,1 V2 <br /> 14 <br /> oLe-t4 JEg <br /> S��- �covv� �1�5� �� c�x��- V 2.�r%c�e.S o✓�S�� �_ <br /> �• V•�5� �c-Q ar VwvS� �� OV�.�.� �� rbc 4���4�� <br /> - c1�. �a c2S ��'S W a-� i'e5 <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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