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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0520682
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COMPLIANCE INFO
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Entry Properties
Last modified
12/5/2024 1:33:41 PM
Creation date
6/11/2018 6:14:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0520682
PE
1919
FACILITY_ID
FA0003044
FACILITY_NAME
TACO BELL #30748
STREET_NUMBER
2320
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
23303002
CURRENT_STATUS
01
SITE_LOCATION
2320 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\T\TRACY\2320\PR0520682\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
12/23/2016 6:08:31 PM
QuestysRecordID
3288518
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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RECEIVED <br /> -- COUNTY OF SAN JOAQUIN DEC 15 2ue� <br /> �• d OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE "U JQ, LIN c0f,1 I <br /> 222 EAST WEBER AVENUE U 14,S IrN011ZIPIX <br /> * a STOCKTON,CA 95202 <br /> TELEPHONE(209)468-3962 <br /> "{i HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> 2004 HAZARDOUS MATERIALS MANAGEMENT PLAN AND INVENTORY <br /> CERTIFICATION STATEMENT <br /> (See Reverse Side for Instructions) <br /> 1. Business Identification Page, Hazardous Materials Management Plan, Facility <br /> Map(s) Certification - Check one box only <br /> I certify that there have been no changes to the above listed documents <br /> 4 since our business's last update or change was submitted. <br /> ❑ I certify that there has been a change to one or more of the above <br /> documents and that appropriate revised hard copy forms have been <br /> submitted with this Certification Statement. <br /> 2. Certification of Chemical Inventory- Check one box only <br /> I certify that the information contained in the most recently submitted <br /> chemical inventory is complete, accurate,up-to-date, and contains the <br /> information required by Section 11022 of Title 42 of the United States <br /> Code. I further certify that there has been no change in the quantity of any <br /> hazardous material reported and that no hazardous materials are being <br /> handled that are not listed. <br /> ❑ I certify that there has been a change in my chemical inventory since the <br /> last submission and completed hard copies of changed Chemical <br /> Description Pages with "Add", "Delete", or"Revised" marked <br /> appropriately have been submitted with this Certification Statement. <br /> I understand that false or inaccurate information may make my company liable in an <br /> emergency. I further certify that I have reviewed the above listed documents and that <br /> the statements checked above constitute an//accurate statement. <br /> Business Name /�G d OES�AJccount# <br /> Site Address <br /> Operator/Owner OTitl� ////�/k�� <br /> Signature Date <br />
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