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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HARLAN
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10830
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4700 - Waste Tire Program
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PR0528212
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COMPLIANCE INFO
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Last modified
4/29/2020 9:51:01 AM
Creation date
4/27/2020 4:15:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0528212
PE
4740
FACILITY_ID
FA0019093
FACILITY_NAME
ARROW TRUCK SALES INC
STREET_NUMBER
10830
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19333028
CURRENT_STATUS
02
SITE_LOCATION
10830 S HARLAN RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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CField
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EHD - Public
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• • •. • • • •• <br /> ram ID Site Suffix <br /> LL 552 -11- 911 — A Bock Up E <br /> ' — L <br /> ooaaaaa <br /> �? kauler Tire grogram ID / Site Suffix Facility Telephone I�iarY�&�er <br /> � ®ATE y � � Whole Tire Count �` Volume Cubic Yds. 3 6O .±eiEI�:'�i�xi134A ier Telephone Numa.;: drLys Sartre as Haub.: hnitmaks <br /> .. \ (N/A for IC ERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> J Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT <br /> 31 1 1 1g <br /> 4 4 <br /> 5 ) i ;� 5 <br /> 61 6 <br /> I7 7 <br /> g <br /> 9 ? i 9 <br /> 10 10 <br /> 12 ,; 12 <br /> 13 13 <br /> 14 14 <br /> 15 15 <br /> 16 16 <br /> 17 f - 17 <br /> 18 18 <br /> 19 19 <br /> 9• r <br /> 20 ' 20 <br /> REMARKS: <br /> CUSTOMER SIGNATURE: .—__ _ INSPECTED BY: .`� <br /> NOTICE! NOT RESPONSIBLE FOR TIRES LEFT OVER (30) DAYS CUSTOMER COPY <br /> Note: All credits are si(biect to inspections. <br />
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