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COMPLIANCE INFO_2020
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0539874
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/7/2020 5:28:24 PM
Creation date
9/24/2020 2:36:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0539874
PE
2220
FACILITY_ID
FA0010996
FACILITY_NAME
GCR TIRES & SERVICE
STREET_NUMBER
4336
STREET_NAME
POCK
STREET_TYPE
LN
City
STOCKTON
Zip
95206
APN
17929026
CURRENT_STATUS
01
SITE_LOCATION
4336 POCK LN # 200
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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DeMenno/Rerdovn dba World Oil Recycling 0 <br /> WORLD OI L <br /> Recycling fora Cleaner Environment" pain of Custody <br /> R E CYC L I N G TM 2000 North Alameda Street,Compton,CA 90222 t �� <br /> Ph(310)537-7100 Fax(310)639-1254 Date Page of <br /> CA-DHSELAP 'rrlif tate#2037 <br /> ClieClie WWTIRES & SERVICE Contact: g Tel: 209-983-9495 Fax: <br /> Address: 4.336, LANE SUITE 200 City: STOCKTON State: CA �e: 206 <br /> Project Nam • SUMP WATER Sampler(s)Signature: <br /> Project Manager: Dave Boyd, Chris Goff Approved By: <br /> Due Date 16 Regular ❑ Rush Days Comments: <br /> Lab Date Time No. of <br /> Sample Description ID Collected Matrix Containers Analysis Requested <br /> l�2gZb—1 l i S T C' L, <br /> S T Ai <br /> � I <br /> ACCOUNT: GCR600 <br /> CAL0004040901 <br /> w-- <br /> Sample Conditions: Seal il ntact en one; Temperature ❑ C 16 R om; Other <br /> Relinquished by (Signature Received by(Sig-nature) cyte/Time ZIF <br /> Relinquished by (Signature] Received by (Signature) , Date/Time /,JUJ to Z ; 7,q -f_, <br /> ' rk;a <br /> Relinquished by (Signature) / ,8 Received by (Signature) Date/Time �� • L _�-p c r,,� <br /> SPECIAL INSTRUCTIONS <br /> E-mail results to: dboyd@worldoilcorp.com, sread@worldoilcorp.com, cgoff@worldoilcorp.com <br /> 96I1ng015W h1A (51y01k)3 J ��—� <br />
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