My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MCDONALD
>
12988
>
2800 - Aboveground Petroleum Storage Program
>
PR0516680
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/22/2018 5:25:20 PM
Creation date
10/19/2018 4:37:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0516680
PE
2831
FACILITY_ID
FA0004175
FACILITY_NAME
TIKI LAGUN RESORT & MARINA
STREET_NUMBER
12988
Direction
W
STREET_NAME
MCDONALD
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
13102026
CURRENT_STATUS
01
SITE_LOCATION
12988 W MCDONALD RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
EJimenez
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
75
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 V �D <br /> Telephone:(209)468-3420 Fax: (209) 468-3433 Web:www.sjgov.org/ehd FEB <br /> 7 2017 <br /> RETURN TO COMPLIANCE CERTIFICATQNONMENTAL HEALTH <br /> Any MINOR violations noted in the "Notice to Comply" in the attached Inspection Report must be c®rAeYitiNWN(Tdays of <br /> receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD) address ; <br /> 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 corrections <br /> Inspection Date: November 07, 2016 Inspected By: STACY RIVERA <br /> Facility Address: 12988 W MCDONALD RD, STOCKTON EPA ID: ��,)Yog fZ 2_ <br /> I certify under penalty of law that: <br /> 1. 1 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. (HSC 25191) <br /> Name: Title: 97` <br /> Signature Date: 12. Z. LZ <br /> 0 <br /> jfi ,jled <br /> spc �� <br />
The URL can be used to link to this page
Your browser does not support the video tag.