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COMPLIANCE INFO_2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0524677
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COMPLIANCE INFO_2019
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Last modified
7/6/2020 2:55:54 PM
Creation date
7/6/2020 2:13:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0524677
PE
2220
FACILITY_ID
FA0014702
FACILITY_NAME
HOLLYWOOD CARS HOSPITAL
STREET_NUMBER
1042
Direction
S
STREET_NAME
SINCLAIR
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
15908114
CURRENT_STATUS
01
SITE_LOCATION
1042 S SINCLAIR AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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California • - Owner Operator <br /> Facility/Site <br /> OALCOMAN AUTO REPAIR �Cfv/ a,�d CERS ID <br /> 1042 S SINCLAIR AVE 101$4757 <br /> OCKTON,CA 95215 V►t rt _Aw• �" ��'���'� <br /> ubmittal Status <br /> This was a Draft submittal as of 11/9/2019;Last updated by Cris Serraras on 11/9/2019 11:43 AM <br /> denAcation <br /> OSE LUIS PERE2 Beginning Date Ending Date <br /> peratnr Phone Business Phone Business Fax 11/9/2019 11/8/2020 <br /> 209)430-2479 (209)430-2479 Dun&Bradstreet SIC Code Primary NAIC5 <br /> Facility/Site Mailing Address Primary Emergency Contact <br /> 1042 S SINCLAIR AVE CRIS SERRATOS <br /> TOCKTON,CA 95215 Title <br /> OFFICE MANAGER <br /> usI I Phone 24-Hour Phone Pager Number <br /> 209}545 0918 (209)645-0918 <br /> Owner seconclary Emergency Contact <br /> OSE PERE2 JOSE PEREZ <br /> 209)430.2479 Title <br /> 1042 S SINCLAIR AVE OWNER <br /> TOCKTON,CA 55215 Business Phone 24-Hour Phone Pager Number <br /> 1209 430-2479 (209)430.2479 <br /> Billing Contact Frivironmental Contact <br /> OSE PERE2 CRIS 5ERRATOS <br /> 209)430.2479 HCHSERVICECENTER@GMAIL.CON9 209}645-0918 HCHSERVICECENTER@GMAIL.COM <br /> 1042 5 SINCLAIR AVE 1042.5 SINCLAIR AVE <br /> 7OCKTON,CA 95215 STOCKTON,CA 95215 <br /> Name of Signer signer7itle Document Preparer <br /> Cris Serratos OFFICE MANAGER Cris Serratos <br /> dditipnal Information <br /> ocally-collected Fields • _ <br /> ome or all of the following fields may be required by your local regulator(s). <br /> Property Owner Assessor Parcel Number(AP N) <br /> Phony Number of Employees <br /> Mailing Address Fatuity I❑ <br /> �ceC Cly -3 0- <br /> EVA 3f CA Oc�c 38q 25� <br /> ^i <br /> Printed on 11/9/2019 11:59 AM <br />
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