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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HAMMER
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2150
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4700 - Waste Tire Program
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PR0522833
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COMPLIANCE INFO
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Entry Properties
Last modified
3/24/2020 2:43:16 PM
Creation date
3/24/2020 2:13:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522833
PE
4740
FACILITY_ID
FA0005604
FACILITY_NAME
TOYOTA TOWN
STREET_NUMBER
2150
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09406058
CURRENT_STATUS
02
SITE_LOCATION
2150 E HAMMER 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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2011-10-19 14:50 Golden roducts 209+ 6'90tiz 'oN►:WM llOZ '6l 'Iz0 I;Ujli I pzni <br /> Z) <br /> i -r�vut , I 0021 a4KAIJ IKh, UUMP <br /> P.O. BOX 1 / 1-3000 NEWPORT RD, INVOICE <br /> SALLICO, CA 95303 (209) 668-4855 <br /> EDT TRIP LOG* 1003314- 08/18/2011 1 EDT MANIFEST-s- 1003314- 000774$3 <br /> DATE DRIVERS INIT RUN it, <br /> SHIP TO: ACCT#: EVER BILI.TO: TERMS: NET30 <br /> GIANT TOYOTA TOWN EVERGReEN 01L, ING, <br /> TOT001 2415 CAMPUS DR. STE 225 <br /> 2150 E HAMMER LANE IRVINE, CA 92612 <br /> STOCKTON,CA 95210 <br /> TPID# 1026ti%e 01 <br /> PHONE: 0- PHONE: (510)608-0159 <br /> HAULER/SHIP VIA: GOLDEN BY•PROOUCTS 13000 NEWPORT R0. SALLICO STATI CA <br /> M <br /> TRUCK nt GBPO85 LIG PLATE 0265421 pEC(�L 11-04382 <br /> HAULER EXEMPTION: GOVT LEA EXEMPT COMMON CARRIER F�UNREGI5TERE0 HAULER <br /> TRAILED: <br /> U bEL SPECIAL INSTRUCTIONS: <br /> TYPE ICOUNT I U/M I UNIT PRICE EXTENDED AMOUNT <br /> PASSENGER TIR �I <br /> PLEASE PAY FROM THIS INVOICE-NO OTHER INVOICES WILL BE SENT! <br /> Invoices over 30 days are subject to a late fee of 1 1/2%per month, <br /> which is 18%annually,or a minimum of$1.00 per month, TOTAL <br /> I cvnlry tr4 under penalty of Perjury wtmr tho laws of Utv stato of Calilofta bd No irw7wilon provlma oboes Is v cdtod o Thal(oiallGaaen d Inl9 YlfOhnolan <br /> may rawll In cNil Woe up to S:9,f1da Dor Cay,pvr vlohllM a OCmll'1lslrollvv oarrallba up to S�O170 Dor vlabu Por sorlDW Vi p.,yle Re un:es Coca WAlon 42097, <br /> X ,! •� <br /> -Facility Ro an tJ e o oelllty Rap a 91 Date <br /> CHARGE PAID CK# r <br /> W GHT CERT—ES L� NET WT TONS <br /> oenuy!riot wer r pvnatty of Wl4y LwBr ItN taws of Inv Sulo of CalUonua Out Yes irdarmdlen WoMad atam is Iruo aM urroa. In od4, .I em QXQQe that ra:aif o 1dff oI thio Inlarmotim <br /> M,rppaii In nwporviw,rerocaam,or donwi or Ko 4*al d Ino Wwto Tao Kavior Roalr}gn DI/nMWni la Puolle ttasaurca➢O.C. n7 d^yy,w<Qll in emu P.nollkv.e io <br /> i2.4.wo wr ony wl vlaladpn a!o MMWIeave Penopgy up Iv$4,000 p=r vglotlon poi day vo a+ jboa in Pulilk Rv 4=, <br /> X �"r�uv�� n�z�, XY-I <br /> Drlwla Name(Print) DM er5 61gn�turo is <br /> ConfldontlalIV Claim (appiJuNe to all Iuttatl waled on al>Ove); The Information provided In Pert 1,Pan II,and Pan III of this form ehauld be cendidarod <br /> -,e»C(err l:onlldnnflal,gpprlotory,antler trodo eocaot, In eecoleaneo with Tgle te,CCA,Eodlon 170• et.eoq,ahayld any mombCr of tho wubtic raquoat tiisdo.ura <br /> L� o <br /> Of this information,I faquost that CIWMU eontant ma at tho address and tolaphono nuMbaraboye, <br /> Eloctronle Reporting to CIWMB: Golam t3yPfow=11,33 boon 0utlwrIXCd by CIVVMB Io parociPese 11111`10 Wpstc ane Used Tiro Manifvst e07 <br /> obeoonle repenlnp prepram An mxaH of"cumbmer llmod an thie Ior.n,Galaen gy produorn Wi aLmronioauy tren&mil to CIWMB au rcqulrod <br /> irdarntatlen from thea m mert farm <br /> Original - Office Copy <br /> i <br />
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