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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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R A BRIDGEFORD
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1900 - Hazardous Materials Program
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PR0520980
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COMPLIANCE INFO
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Entry Properties
Last modified
10/15/2019 2:26:50 PM
Creation date
6/11/2018 5:21:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0520980
PE
1920
FACILITY_ID
FA0013603
FACILITY_NAME
FEDERAL AVIATION ADMINISTRATION
STREET_NUMBER
7900
Direction
S
STREET_NAME
R A BRIDGEFORD
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17726006
CURRENT_STATUS
01
SITE_LOCATION
7900 S R A BRIDGEFORD ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\R\RA BRIDGEFORD\7900\PR0520980\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
11/2/2016 3:44:02 PM
QuestysRecordID
3247575
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue,Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sictov.org/ehd <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations noted in the"Notice to Comply"in the attached Inspection Report must be corrected within 30 days of <br /> receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD)address <br /> at the top of this form within 30 days of receipt of the Inspection Report. HSC 25404.1.2(c)(1) <br /> All corrections to other violations noted in the attached Inspection Report(IR)or Continuation Form, or disputes to any <br /> violations, are to be submitted using this certification and returned to EHD within 30 days unless otherwise specified in the <br /> Inspection Report. HSC 25185(c)(3) <br /> Note: All EHD staff time associated with failing to comply by the above noted dates will be <br /> billed at the current hourly rate. <br /> For this certification to be complete, the operator of the site must include: <br /> A statement documenting what corrective actions were taken or will be taken for each violation <br /> Copies of sample results/manifests/training records/other appropriate paperwork, and/or photos verifying <br /> corrections <br /> Inspection Date: September 17, 2014 Inspected By: JAMIE DE LA ROSA <br /> Facility Address: 7900 S RA BRIDGEFORD ST, STOCKTON EPA ID: <br /> I certify under penalty of law that: <br /> 1. I have corrected the violations specified in the Inspection Report from the above-mentioned inspection date. <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> and I believe the information to be true, accurate, and complete: <br /> Photos Paperwork Statement <br /> 3. 1 am authorized to submit this certification on behalf of the Respondent. <br /> 4. 1 am aware that there are significant penalties for submitting false information, including the possibility of a fine <br /> and/or imprisonment for known violations. (HSG 25191) <br /> Name: ��tv\cs �ti. t`,��Ic -Title: G� +sn SSC fYlnct c�r� <br /> Signature: Date: 17 / 1`t ' <br />
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