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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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SJGOV\dsedra
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EHD - Public
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F <br />Employee Acknowledgement Form <br />AwElft " fix -m M&I &R9&MjsAdW you bm ban traimd abm: <br />I. How to identify hazardous chemicals. <br />2. How to read anod understand Product wiz kl labels and SDS's and where ,SS's are iocated <br />3. sow and where to find "Pograrn5' and what the-; T*an. <br />4. How to property handle and j -se the chemicals you are exposed to in tt* work place <br />S. You are aware of and "nderstand the Lot 4azardous Materials Managernent Plan. <br />'You ate also confirming that you know this Hazard Communication Manual and the SDS's are availabie for <br />reading and referencing at any time, tf you have any questjoris havev"r manager a them twfore signing <br />this form. <br />I DATE <br />PRW EMPLOYEE NAME <br />EMPLOYEE SIGNATUK <br />C' <br />. .... . . . . ........... .... <br />T <br />, hij sr,##t may be feprw"ec nternai LM Wft <br />WZ4";-00 KU SA 4?&021000�w X4 <br />29 C"IA 'K#v Cr4v%", Corn.- ,, Au VW4t Re%"a. <br />
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