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COMPLIANCE INFO_PRE 2019
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PR0513933
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
8/26/2024 9:30:02 AM
Creation date
9/17/2018 11:07:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0513933
PE
2220
FACILITY_ID
FA0009621
FACILITY_NAME
JACK RABBIT
STREET_NUMBER
471
STREET_NAME
INDUSTRIAL
STREET_TYPE
AVE
City
RIPON
Zip
95366
APN
25929022
CURRENT_STATUS
01
SITE_LOCATION
471 INDUSTRIAL AVE
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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`SAN JOAQUIN COUNTY UNIFIty PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on: V�Zoc-f <br />As Identified in the Inspection Report dated: 31�110ct <br />Conducted by: yogi r(LA--' [EHD Inspector(s)) <br />certify under penalty of law that: <br />Respondent has corrected the violations specified in the notice of <br />violation cited above. <br />2. 1 have personally examined any documentation attached to the <br />certification to establish that the violations have been corrected. <br />3. Based on my examination of the attached documentation and <br />inquiry of the individuals who prepared or obtained it, I believe that <br />the information is true, accurate, and complete. <br />4. 1 am authorized to file this certification on behalf of the Respondent. <br />5. 1 am aware that there are significant penalties for submitting false <br />information, including the possibility of fine and imprisonment for <br />knowing violations. <br />V, P- 4 � b I" � <br />L(( 7fo�L)�>4-d o�— Ave-- CN — 0000 L(52-1 `'l <br />Facility Address EPA ID. Number <br />JJAv N l i Fid C1PflL-- <br />Name (Print or Type) <br />owx�- F"&L-Q <br />Signature <br />EHDCERT (rev 1/07/02) <br />Title <br />3J.;W / 0 4 <br />Date Signed <br />
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