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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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3755
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4700 - Waste Tire Program
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PR0522792
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COMPLIANCE INFO
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Last modified
3/12/2020 7:05:00 PM
Creation date
3/12/2020 2:45:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522792
PE
4740
FACILITY_ID
FA0009595
FACILITY_NAME
AMERICAN MEDICAL RESPONSE
STREET_NUMBER
3755
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
115-300-49
CURRENT_STATUS
02
SITE_LOCATION
3755 N WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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CField
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EHD - Public
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_ Waste Tire S ✓ey & Inspection Ret SURVEY REQUIRED <br /> LoState of California <br /> w <br /> CIWMB183 (New04/04) Comments Form - <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: ..� L{ 0 1Report 2 <br /> t Number: O <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> w� �r� (�.r tfr✓�n CC� a>-� " 'YI�3 ('lc...� c t��) <br /> 2 <br /> uv( vis a� AqQ3 C2 <br /> At ktri� 6V <br /> CDN� A- <br /> 42408 <br /> JE XIA MIPILIIEI 1112 31 <br /> r f <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LFA, <br />
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