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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2231-2238 – Tiered Permitting Program
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PR0506899
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COMPLIANCE INFO_PRE 2019
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Last modified
8/26/2020 8:51:53 AM
Creation date
7/30/2020 7:46:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0506899
PE
2233
FACILITY_ID
FA0006171
FACILITY_NAME
Mizkan America, Inc.
STREET_NUMBER
1400
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205-3743
APN
14115002
CURRENT_STATUS
02
SITE_LOCATION
1400 E WATERLOO RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\gmartinez
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FilePath
\MIGRATIONS\Tiered Permitting\W\WATERLOO\1400\PR0506899\COMPLIANCE INFO.PDF
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EHD - Public
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Department Of Health seMces <br /> stale al CaXfamla—Health and WeHate Agency <br /> Page 2 Of 2 Pages <br /> RADIOACTIVE MATERIAL LICENSE LlcenseNumber: 4325-39 <br /> Supplementary Sheet Amendment Number: 4 <br /> 13. Except as specifically provided otherwise by this license, the licensee shall <br /> possess and use radioactive material described in Items 6, 7, 8, and <br /> of this <br /> license in accordance with statements, representations, and procedures contained <br /> in the documents listed below. The Department's regulations shall govern unless <br /> the statements, representations, and procedures in the licensee's application <br /> and correspondence are more restrictive than the regulations. <br /> (a) The application with attachments dated February 27, 1991, signed <br /> M. H. Gartin. <br /> T-bj—'jhe—Tetters With attachments dated Januar` 20 1774 and Jai Uafy3 2S,-1794 <br /> both signed by Bruce W. Houghton regarding procedures. <br /> 14. nie Radiation Safety officer in this program shall be Brice W. Halughton. <br /> 15. The licensee is authorized to dispose of BACI'FC culture vials (containing <br /> carbon-14) as nonradioactive waste. All references to radioactive material on <br /> the vials must be obliterated and ultimate disposal must be according to <br /> manufacturer's specifications. <br /> For the State Department of Health ervices <br /> Date: By <br /> Jul-Y Radlologlc Hea c <br /> P.O. Box 942732 <br /> Sacramento,CA 9423 320 <br /> FM X1551 I'M 111 M, _ <br />
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