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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MANTHEY
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12715
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4700 - Waste Tire Program
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PR0530670
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COMPLIANCE INFO
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Last modified
4/14/2020 11:22:03 AM
Creation date
4/9/2020 3:20:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0530670
PE
4740
FACILITY_ID
FA0019892
FACILITY_NAME
BLUE RHINO
STREET_NUMBER
12715
Direction
S
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19123007
CURRENT_STATUS
02
SITE_LOCATION
12715 S MANTHEY RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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CField
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EHD - Public
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Waste Tire S ley & Inspection RePet SURVEY REQUIRED <br /> ■ ,' ■ii Stale of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: 5 3 � � � L (� � Report <br /> Number: I <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Q�� s <br /> ' `-C2 S G An-d ICT I amu`"e�nit-d i f"n C�-• 1-a c t l i `t <br /> WfC 3� I M '4;rf +iV--- Ce-04 Cp' aJ AA I2J <br /> '1YJVVl13iILl3L . <br /> g70Su,Ct_._. C--I-L,_ -_e cit-rC� Lrund <�U..,t <br /> y,f4I,4r.!;, <br /> GA* 44 -e x-fn <br /> 42408 <br /> White Copy:CIW MQ Yellow Copy:Operator Pink Copy:LEA ;--d7i <br />
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