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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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Employee Acknowledgement Form <br />silmins thij fvrm,are <br />1. How to identify hiiafdOus chemiU S. <br />2. How to read anti utter nd Product wvirtsirt vim ! SOS's and wire Si?S's are located <br />3, How and where to rind "Pictolpar s" and VOW they mean - <br />d. How to proper* hortdie and use the chemicals you are eyposed to in the work Piave <br />You are aware of and uMerstand the %o2 Hazardous Materials anagen-wnt Plan. <br />"Yoc ,; are also confirming thatyor know this H&zard Communication Mlanuai and the SD`s are available for <br />reading and referencing at arry time if you have any questions have your manager answer them before signing <br />this forma <br />DATE <br />PRAT EMPLOYEE NAME EMPLOYEE SIGNATURE 1 <br />Y'1 <br />Y ;S sheer may ;'e,roaucea s ;nternaj use onty. <br />�s <br />� C KUSA 476r 21$0'C. C'4 <br />29 ZMIA Kay C ". CO+Dsny A#7 040,11 K2t�Se^'rBC <br />
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