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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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WATERLOO
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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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SJGOV\dsedra
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EHD - Public
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Employee Acknowledgement Form <br />goft tig fam M M Mffrny-mdW m hm hM 0JMW WWd: <br />1, <br />Now to identify hazardous Chemicals <br />2. Now tore" WW Understand product warning labels and SOS's and where SDVS are located <br />I Now and where to find 'Pictograrns' and what they mean. <br />4. mow to properly handle " use the dwernicals YOL are exposed to in the work piace. <br />5. You are aware of and uncerstand the Cot Hazardous Materials Management Plan. <br />*you are also confirnung that you know this Hazarti Cornmumcatian manual and the SM'S are avaiwWO for <br />reading and referencing at any time if you have any questions have your manager answer them before signing <br />this form. <br />DATE PRINT EMPLOYEE NAME EMPLOYEE SIGNATURE <br />I MINIMUM 0 <br />This Sheet MaV De WrOOV, ed !tar 'ntefnal Us* W#Y <br />,4�12u"I-oc AUSA 4-642, C. -C:4 <br />29 *MIA C hWVWW 0-0-"ffli A` 914VC I- ROW"o <br />
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