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COMPLIANCE INFO_1992 - 2012
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2231-2238 – Tiered Permitting Program
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PR0507098
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COMPLIANCE INFO_1992 - 2012
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Last modified
8/18/2020 2:35:32 PM
Creation date
7/30/2020 7:46:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
1992 - 2012
RECORD_ID
PR0507098
PE
2231
FACILITY_ID
FA0005307
FACILITY_NAME
HOLZ RUBBER CO
STREET_NUMBER
1129
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04528008
CURRENT_STATUS
02
SITE_LOCATION
1129 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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FilePath
\MIGRATIONS\Tiered Permitting\S\SACRAMENTO\1129\PR0507098\COMPLIANCE INFO 1992 - 2012.PDF
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EHD - Public
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06/23/2005 THU 8: 29 FAX 408 456 9196 Uaivar USA San JOBS _ _ __ yjuuaruua <br /> • CON'S AINER PICK-UP MTURN No. 655654 <br /> CUSTOMER NUMBER: ��a a�1 CREDIT MEMO NO,t.6� - �(al y <br /> - SHIPPED FROM: - <br /> BRANCH: <br /> DATE: G\jE <br /> SHIP T6 LINIVAR USA INC. - UNIVAR DRIVER: <br /> 2256 Junction Ave TRUCK/rRAILERxOFFICE OF EM 6 ININ Colt <br /> San Jose,CA 95131-1218 RrPhll. <br /> CARRIER: PREPAID ❑ COLLECT <br /> TN CASE OF ea r ere <br /> QTY NM DESCRIPTION AND PRODUCT NUMBER ji;M DEPOsIr <br /> The undersigned, an behalf of Univar <br /> Pal Drum 55 GAL (PM 248020)ACt II or Gmr6w J USA Inc.. acknowledges receipt of <br /> property doscribed below, In apparent <br /> good order, except ao notcd(contents <br /> and condition of corripm of packages <br /> unknown), marked, oonsipned. and <br /> destined as indlcatcd.and agrees to <br /> transport or arrange for transportation <br /> of.sucn proporly to its usual place or <br /> _ Poy Drum 55 GAL (PIN 246020)Ad II or ConOcD NO D&POSIT delivery at such dootination. <br /> SHOW EMUMONUMLIAalts es Ow.UST W tau. <br /> TAWIMORMATMMSRECFl40FgTMM CREDIT <br /> --.. ..— - Iw�eeAu.owaDronmsNaScuTmcauurAla <br /> CON MONVERMAT"RAar. <br /> Poly Grum 15 GAL (P44 298100) <br /> Stainless Steel Dram 55 GAL(PM 248270) 100.00 <br /> SlaHoss Steel Drum 15 GAL(PM 248210) 200D0 <br /> amNi as <br /> Steel Dnun 55 GAL (PM 332360) .00 <br /> smw xd <br /> Steot Drum 55 GAL (PM 333360) _ -- NO " N6 . <br /> ✓"' seliuw _ _ <br /> Paly Pail 5 GAL (PM/643863) All Pure Bleach 57.50 <br /> Poly Drum 55 GAL(PM 6111678)Ferric Chloride 00 R(M CONTAINER CERIOCATION <br /> I heeret m Nu mese oane�n ers rompY <br /> as Wt aerates nu• <br /> Prale0m Aponcy re0ala=E a r1,r.and <br /> lRewplacremrrent <br /> 55 GAL PIN 610645 Bleach-All Pure fou"n ebb Prooerp pamdfw <br /> ) m. °oMu.s.55 Cz4L(PM 649066)Bleach-Hasa c�oMPc NY NAME <br /> P") <br /> gongs(P/N 306230) <br /> N E <br /> }Th4 4 m I leek the abov,named mmnrinlo lw ppvvppppnnyy NLss1V*d de. d'ppgpad�aaqse4 aM libvlad,and p IP <br /> t•vDer a Vanspm.d'en,xcoi3,g to d,p appVFaWv NBVhlfiDn.of Iho Deponmgd dranapeB:tli•n. <br /> SHIPPER PEA PIU WR41TEN By DATE RECEIVED nY DATE UNIVAR USA INC. <br /> FORM IEVNIOx DAIS 10M <br /> eRVNOPEYe1ml DAR WIN <br /> WHITE.VWR ORIVSP COPY YELLOW-CUSTOMER COPY PINK-OFRCECOPY F no, slOtw w^-.as Dot. <br />
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