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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: 'rey & Inspection Re t suR-VEY REQu1-RED <br /> -• <br /> State ofCalifw Comments Form <br /> CIW (Ne <br /> MB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: o 5 l Report I 1 — A— ,— —1 q I J, r7 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> _ <br /> okc S'- t 1 --- -17 r o�.� bel���i L,at[Q., 1 S <br /> r- <br /> -Pp <br /> - �PA s�<-rtl1T <br /> 1 <br /> uc� I I J- <br /> I JS4 <br /> 42408 <br /> J : A L 111273 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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