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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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VAL DERVIN
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4700 - Waste Tire Program
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PR0537792
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COMPLIANCE INFO
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Entry Properties
Last modified
1/24/2020 2:19:11 PM
Creation date
1/24/2020 1:34:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537792
PE
4740
FACILITY_ID
FA0021796
FACILITY_NAME
CB TIRES
STREET_NUMBER
111
STREET_NAME
VAL DERVIN
STREET_TYPE
PKWY
City
STOCKTON
Zip
95206
CURRENT_STATUS
02
SITE_LOCATION
111 VAL DERVIN PKWY
QC Status
Approved
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CField
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EHD - Public
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Waste Tire s vey & Inspection Rer - A SURVEY REQUIRED <br /> •i3_. State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- InspectionReportCy <br /> ct <br /> Site Suffix: ! 7 U C l L Number: I C <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> j e- ry\c a---c, ✓YULEC:� _ <br /> ox 477z� <br /> J �')1 Clad�r✓�J <br /> -�A W 2--L �✓b i,--�Zan eft <br /> M.Ir, 1y i c,l - �id s�Y�?. rJ Y� 1,c s sA eJ <br /> gig <br /> U�,r►�- j-�.�!z•-r s �c �<<,��r�� GGA° Tb �- ��:-�L o��-a�l -�a� <br /> = kAAXy J�s,�4- � ���Ali -r � 1 -7ig6 4u,-.l ,,/ii. <br /> I V, v-yi c01 <br /> tom► -�- <br /> yi 4 C i <br /> gow <br /> cs <br /> (4:1 .� 71!-AMS 6ZE f7 1/�.1L (�] yb t7r c av�.- <br /> �.��r�� .0{2t,ne_ �►�(1 o P� <br /> i <br /> V1 dVt...�� l �,yvl^ �Lr L J ope? &,#0 <br /> V -T31 <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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