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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ALPINE
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14090
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4700 - Waste Tire Program
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PR0541292
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COMPLIANCE INFO
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Entry Properties
Last modified
6/19/2019 12:52:48 PM
Creation date
6/19/2019 12:24:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0541292
PE
4740
FACILITY_ID
FA0023656
FACILITY_NAME
IZZY'S WORLD OF TIRES
STREET_NUMBER
14090
STREET_NAME
ALPINE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06307062
CURRENT_STATUS
02
SITE_LOCATION
14090 ALPINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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CField
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EHD - Public
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r Xy .. > 1 Pick Up Delivery <br /> � F'c3fAiYjJ Te I _()i1GTtey Nur;har ' <br /> Site +11IXDATE <br /> � � <br /> GGG.���•--- <br /> kiLU Whole ilrc:Count LJ Vieight In Los. <br /> if Volurne Cubic Yds. [] Weight in Tons <br /> -0, Initials <br /> . (NiA to, I CERTIFY THAT UNDER PENALTY OF PERiURY OF THE <br /> 6 - - Whole Tues) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> -~ - INFORMATION PROVIDED ABOVE 15 TRUE AND CORRECT <br /> •' 5825 1 Pick UpElDelivery On& � � � � i� W <br /> HaIuter Tire Program 4D ! Site Suffix Facility Telephone Number <br /> S DATE % ( �jl , f L!1® <br /> "Ole Tire Count ❑ Weight in.Lbs. -_ <br /> 1lolume Cubtic Yds. Weight.in Tons <br /> i � 14 <br /> f f VUH - <br /> _. � � .. <br /> c%:.�,; ✓,. �'P ;.1':s "af°i?3E`# - - �...f Address7:ak'rei3S F' ll(�'Y tniffia!s <br /> �n - ---., <br /> a. 1 CERTIFY THAT UNDER PENALTY OF PERJURY OF THE j <br /> -. s .. : -..,. AB4hEQ tRttEHA CORRECT <br /> .CANIS OF THE STATE OF C. <br /> s V� <br /> PROVIDED <br /> - • - •. Coro •. • I • • 7• <br /> a <br /> 5582560 -- B Pick Up Delivery n- <br /> ® ® LCL{ <br /> mater Tire Pmgrarn ID / Site Suffix Facility Telephone Number <br /> DATEJ ; <br /> Whole Tire Cdtk a Weivht in lbs;. _ f <br /> ry— <br /> I 011/�210 <br /> hzi <br /> r - �� I CEdITIFY THA7 UNDER PENAL) 7f PER.�tUH11 <br /> Y OF'Mf <br /> LAWS OF THE STArk Cw4 f1 w l 1 ,'� INi'OJVMATION PROVIDE 0CABOVE ISN <br /> 14-411 <br /> � TRUE AMU CORRECT .# T <br />
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