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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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3223
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4700 - Waste Tire Program
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PR0523524
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COMPLIANCE INFO
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Entry Properties
Last modified
4/15/2020 2:21:47 PM
Creation date
4/14/2020 2:04:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0523524
PE
4740
FACILITY_ID
FA0015721
FACILITY_NAME
Walmart #1554
STREET_NUMBER
3223
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95212
APN
126-180-06
CURRENT_STATUS
02
SITE_LOCATION
3223 E Hammer Ln
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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CField
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EHD - Public
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Dec 27 2816 16:50:31 CST FROM: PM/50046389011 MSG# 1736935481-905-1 PAGE 014 OF 062 <br /> .. _ .— ..v v • rV IM.r VVI\y <br /> Pickup ReColpt <br /> V <br /> 193US Sp609 Ave <br /> Santa Fe.Springs CA P0670 Pickup Mato: 514/20'15 <br /> Hnular and Ertl TJao Facimy EDT Man1 tst 11: 1101384061 <br /> Truck: 423468 EDT'rrlp 409#-. 516264 <br /> L.icenso'Numtot; Stato-CA 19F34829 <br /> State: CA <br /> Donal! 15.06930- Sttaro No.;WAQJ$$4 <br /> WAL MART STOCKTON <br /> 3223 E HAMMER LANE <br /> STOCKTON,CA 9$212 <br /> Toleotwnem 2OW473.3430 <br /> TNID: 1331982-41 <br /> ITEM ........, _..—,.._._ <br /> TnAl;a;r: 6Z7L _...•.., _.._..,..,, ., .._._,._ ~._. ., _ .„.,................_..........................._.....,L <br /> Tot <br /> _... w 145 <br /> I certify float 4nddr panatty car ra cy nectar Iho Irnvp of IMA;foto of i callYfy that undor penany pf pmrJwy under to town of IN Slob of <br /> Cnlaorrtlah Iltat ila¢Iniia7vaaNun yr>71idr0 ubova h!fun acrd vanp4t. CalNom;a that 01a[nfprmoGora pitxp�vidj,d above is Irue wid 4:orre d, In <br /> ad(tlUon,r nna Qwtrrd It1Rt te�ttSr.,atk+n o!file Mlprrnatlon m rosult ht• <br /> suapermio,l,rovottrGon,of dcnMf afrnneWirl of the Wd�re T,n•ifnulor <br /> RrtylalmGnn panituanl t0 Fubhp G2®ornr►rosa Crain 400mon 42960 and may <br /> mzUII ire uvtl pmutttaa up la$2 AM Por day,pef viotuyon or <br /> 9Cminlarra11W ponallifrn 4p w$5,000 par vrolallon Ger daav <br /> y as aolhod <br /> In pikk►�ruaourwn Cualo°woCticu1+12FlPf2. <br /> GanfifatorSignaturr3 QriverSi ru3ltrr>j <br /> mark JORGE 13OTELO <br /> ar ! <br /> E <br /> r��� Carrflaonnorlfy Chace,'ITw Inromi0an provtciekt cut roan ahcaul�l Do aonaatlarpo ConfipmrtngG pfaprintd gntL;>r 11pge Vl <br /> fA so�mtl In otnDrdartcm with TWO 1a,ICCr1Y$critton�7t141 cstaw�,ar,ourd any men-zar of the mblic mcf1je Ictosuro orthia <br /> ¢ IntormdAon,I roqutrst'fhai Co <br /> odtlrtaaA lmucycta confect mom oto Ond i0-ophomo numbpr ab"Pvo. G <br /> Uoe hrolalF R r rtln fp ct"Hor-yrL*xui T"Wdat has b*w 0010flW fay vo <br /> COIRyclb In pa rt 0-m*to the Wdaro arul F <br /> �1 �. <br /> Used Toa Mum foal F cYr eroKtronle,aportlnp slrQapo(dn%1 On L0hpl!Of J„a cusW'pr Jlqurl en sMs torn),LAM TWo Ww*t wIU <br /> n1ncU4ntoaily Irurrtmlt>n(,?,It�lccyctn nn roQuUnd"inso+rnnt;,x,lrprh thla Ina) f L c:olt7oGycle(IIIA IepaurnMC llm LaIBn 71rb <br /> GOT <br /> *x use within Into Nieto r1rc manifest 3yr."m EDT0"mm. <br /> I <br /> i <br /> E <br /> t <br /> t' <br /> C <br />
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