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ARCHIVED REPORTS_XR0004196
Environmental Health - Public
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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1301
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3500 - Local Oversight Program
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PR0545342
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ARCHIVED REPORTS_XR0004196
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Last modified
2/12/2020 3:16:32 PM
Creation date
2/12/2020 9:10:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004196
RECORD_ID
PR0545342
PE
3528
FACILITY_ID
FA0000392
FACILITY_NAME
FLAMES LIQUOR
STREET_NUMBER
1301
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03104030
CURRENT_STATUS
02
SITE_LOCATION
1301 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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• <br /> Generator hSoimatJon 895802 <br /> Name: flame liquor <br /> Address- 1301 west kettleman lode <br /> Description of water Non-Haz purge wafer UST Sites <br /> Basis for determination that7on Analyte 1 <br /> GeneratQrlAuthonzed agent <br /> Z4 .A4 Print si tdat <br /> Transporter Inforinat ion <br /> Company name Amencan Valley Waste Oil <br /> Truck Id _Dnver <br /> print sign date <br /> Total Gallons �a <br /> • Facility Information ^ <br /> Cascade General Inc Approval Number 800-014 <br /> 5555 N Channel <br /> Portland, OR 972.17 <br /> ORD 18761934 <br /> Vie Railcar# <br /> Received by _ r�, 'III <br /> zcs�� <br /> Print full name and sign date <br /> sti <br /> • <br />
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