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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WEST
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2200 - Hazardous Waste Program
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PR0513829
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COMPLIANCE INFO_PRE 2019
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Last modified
12/19/2019 4:14:04 PM
Creation date
12/19/2019 2:51:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0513829
PE
2249
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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I <br />California Coolant <br />Services <br />1187 Vandorbilt Cir. #2 <br />Manteca, Ca 95337 <br />Office: 209-239-5587 <br />Fax: 209-239-6316 <br />PURCHASE ORDER NO: 10 j <br />Name <br />Date of Service <br />Address a , e,,.. <br />Rep <br />anifest# <br />city State , Zip <br />Terms <br />ust# <br />Phone <br />CODE DESCRIPTION <br />030 Recycled Antifreeze <br />Customer P.O. <br />CITY UNIT PRICE AMOUNT <br />002 <br />Ethylene Glycol/Antifreeze <br />Non Taxable Sub Total <br />- - <br />Taxable Sub Total <br />Tax <br />TOTAL DUE <br />• <br />IN <br />OUT <br />Comments: <br />CAL EPA# CAL000147713 <br />TRANSPORTATION REGISTRATION# 3713 <br />Customer Authorization: X Date: Zr"r X <br />Onsite Agreement: <br />Date: "r 6 X <br />
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