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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FIELD
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1848
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2231-2238 – Tiered Permitting Program
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PR0507035
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BILLING_PRE 2019
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Entry Properties
Last modified
3/22/2021 10:15:14 PM
Creation date
7/30/2020 7:42:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0507035
PE
2231
FACILITY_ID
FA0007100
FACILITY_NAME
TYCO
STREET_NUMBER
1848
STREET_NAME
FIELD
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
1848 FIELD AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\Tiered Permitting\F\FIELD\1848\PR0507035\BILLING.PDF
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EHD - Public
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EPA ID NUMBER r.4W <br /> R 7-1 7 o 6 7 9 Page 2 of L5 <br /> MAILING ADDRESS, IF DIFFERENT: <br /> COMPANY NAME (DBA) Citation Enterprises , Inc. <br /> STREET 1950 W Fremont Street <br /> CITY Stockton STATE CA ZIP 95203- <br /> COUNTRY <br /> (only complde if not USA) <br /> CONTACT PERSON Barry Nicholson PHONE NUMBER( 09) 4hh - 6000 <br /> (Fina Name) Na Name) <br /> M. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: <br /> Use either one or two SIC codes (a four digit number) that best describe your company's products, services, or industrial activity. <br /> Example: 7384 PhotoffnisNn¢lab 3672 Printed circuit boards <br /> Printed Circuit Boards <br /> First: 3672 Second: <br /> IV. PRIOR PERMIT STATUS: Check yes or no to each question: <br /> YES NO <br /> ❑ ��qt 1. Did you file a PBR Notice of Intent to Operate (DTSC Form 8462) in 1992 for this location? <br /> ❑ 2. Do you now have or have you ever held a state or federal hazardous waste facility full permit or interim <br /> status for any of these treatment units? <br /> ❑ ® 3. Do you now have or have you ever held a state or federal full permit or interim status for any other <br /> hazardous waste activities at this location? <br /> ❑ 4. Have you ever held a variance issued by the Department of Toxic Substances Control for the treatment you <br /> are now notifying for at this location? <br /> ® ❑ 5. Has this location ever been inspected by the state or any kcal agency as a hazardous waste generator? <br /> V. PRIOR ENFORCEMENT HISTORY: Nor required fiorn generatarr only noting as conditionally ernnpt. <br /> YES NO <br /> ❑ ® Within the last three years, has this facility been the subject of any convictions,judgments, settlements, or final <br /> orders resulting from an action by any local, state, or federal environmental, hazardous waste, or public health <br /> enforcement agency? <br /> (For the purposes of this form, a notice of violation does not constitute an order and need not be reported unless <br /> it was not corrected and became a final order.) <br /> ❑ If you answered Yes, check this box and attach a listing of convictions,judgments, settlements, or orders and a copy <br /> of the cover sheet from each document. (See the Instructions for more information) <br /> DTSC 1772 (1/93) Page 2 <br />
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