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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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KETTLEMAN
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2200 - Hazardous Waste Program
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PR0514476
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COMPLIANCE INFO_PRE 2019
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Last modified
9/30/2020 1:16:49 PM
Creation date
9/29/2020 3:59:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514476
PE
2229
FACILITY_ID
FA0010973
FACILITY_NAME
JIFFY LUBE #2322
STREET_NUMBER
500
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06208002
CURRENT_STATUS
01
SITE_LOCATION
500 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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N FE•RSIATE BATTERY SYSTEM OF SACIAMENTO � <br /> "A I-D Rene Avenue � R TATE Page: 1 <br /> iaramento ;:A 95838-3003 Bio TEMES <br /> (916j921 -6:7a <br /> In�� ir:e Ybr .60046983 <br /> EALER?SBR. '864 Lucatiun o'Sale :706 <br /> :FFY LL BE 4 2322 B `. BR°OACE ASE <br /> Saks Per, Name :DAVID LOFEZ <br /> ;DO E. KE77LE•1vtA'\ LF.NE; <br /> Saks Pemon Nbr :S06 <br /> _ODE CA 93240 PO Number :0 <br /> Date :07,`0212038 <br /> 'ayment Type: CffA.RC E.4CY,'.1Uk; Time : '.:01:53 PM <br /> rype Q-.y Var Nuv6rr'Dew Age Rate Price Amcunt <br /> ;a:e 2 MT-'8 61.?0 123.40 <br /> �¢1. T,xal 123.40 <br /> Zotation I MT-15 No C.iarge <br /> rotation I MT-41R No Charg;: <br /> .ores Received 2 1l(;Nl <br /> S»1 1,31 123.40 <br /> ------------ <br /> Sub T.r:al 123.40 <br /> ----'-_I 2.3.610 <br /> P.yir.ent Amount 0.00 <br /> ------------ <br /> NA In^crcv $123.40 <br /> PRINT' NAME IIERF <br /> SIGNATURE _M� <br />
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