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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GILLIS
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619
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4700 - Waste Tire Program
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PR0535064
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COMPLIANCE INFO
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Last modified
5/26/2020 3:18:20 PM
Creation date
5/26/2020 2:50:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0535064
PE
4740
FACILITY_ID
FA0013585
FACILITY_NAME
KUSTOM MATERIALS LAMINATORS
STREET_NUMBER
619
STREET_NAME
GILLIS
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
16203007
CURRENT_STATUS
02
SITE_LOCATION
619 GILLIS AVE
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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CField
Tags
EHD - Public
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Waste Tire SL /ey & Inspection Rep t SURVEY REQUIRED <br /> �M=2 State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK_ PEN <br /> "4usin sse Pro Profile Inspection Details <br /> PID- <br /> Inspection 1 <br /> U _ 1 <br /> Site Suffix: -1 I <br /> 5 Report Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> C"' �J3 00 Ck�(X_fWj (AdV <br /> kbS W�A4CJllVC- <br /> L)A Wl f�_A1 L �_r� <br /> c <br /> QCs��s n <br /> , N <br /> 5 _ LUQo- e b o:o 1)—V <br /> pk� VIA-J <br /> 1 � <br /> 42408 <br /> 1EXAVIPME1 111,251 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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