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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0520715
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COMPLIANCE INFO_2021
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Last modified
6/21/2021 11:43:52 AM
Creation date
6/21/2021 11:36:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0520715
PE
1919
FACILITY_ID
FA0007631
FACILITY_NAME
BURGER KING #10834
STREET_NUMBER
4608
Direction
E
STREET_NAME
WATERLOO
City
STOCKTON
Zip
95205
APN
10102145
CURRENT_STATUS
01
SITE_LOCATION
4608 E WATERLOO
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Ams T 1 • -4 Eill <br />ay sjLnjM,tjsfirm h <br />1. How to identify hazardous chemicass <br />1. How to reaci ants ur ersUnd product warning iabeis and S`s and where Sim"s are lbCa *& <br />3. H" and where to find "Pttograms" and what trey rnean. <br />4, tow to properly handie wW use the chemicals you are expposea to in the work pipe. <br />S. Yoaj are aware of and understand the Coc Hazardous Mateftk&Aan9$*tt*nt Plan, <br />'You are also confirming that Vou know, this Hazard Corrimunscation Manu►wi end the SDS's are available for <br />reading and referencing at any tires. If you have any questions have your nunq +er answer them before signing <br />this form, <br />DATE <br />PR>Ni'f EMPLOYEE NAME <br />EMPLOYEE MATURE <br />c` <br />r <br />—4 <br />Th34f shies. rraV :* rev, ' 'e'c for Vernal 4se onmy. <br />U0411160.00 WAA4760? r'u a <br />29.24,,rcawrarr <br />
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