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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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Safety Data Sheets <br />Z - <br />0 <br />Employee Acknowledgement Form <br />rt t <br />1. tow to identify hazardous theoric s. <br />3. How to read and understand poodutt warning labels and SOS's "where SDS`s are lot ted.. <br />3-. draw and where to find '"Pictograams� and what they mean. <br />4, Wm to properly haindie ano use the chemicals yok: are exposed to in she work Vie. <br />5, you ant aware of and understand the Co2 Hazardous Materials Maragerrnent Plan. <br />`You are also Confirming that you know this Hazard %ommu n"tion Manuai and the SDS's are evaiiatne for <br />reading and r+rkrencing at any time. If you have any questions have Vour manager answer Memn befrire signing <br />this form. <br />DATE PRINT EMPLOYEE IV"E EMPLOYEE SWAATURE <br />5113 �1 �, �;'�'_ _ W..._. <br />i <br />H <br />Q214"1-00 AOtA4�'twUM41"A.14 <br />29 j;dVs X#r C1 o"WM 3% umu►x+r. Miz eta ReserwC <br />
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