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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0514461
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COMPLIANCE INFO
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Entry Properties
Last modified
12/5/2018 10:38:56 AM
Creation date
10/31/2018 9:39:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0514461
PE
2220
FACILITY_ID
FA0010934
FACILITY_NAME
STOCKTON MAZDA
STREET_NUMBER
3003
STREET_NAME
AUTO CENTER
STREET_TYPE
CIR
City
STOCKTON
Zip
95212
CURRENT_STATUS
02
SITE_LOCATION
3003 AUTO CENTER CIR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\A\AUTO CENTER\3003\PR0514461\COMPLIANCE INFO\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
8/8/2013 8:00:00 AM
QuestysRecordID
2020009
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)46&3433 Web:www.sjgov.ora/ehd <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations noted in the"Notice to Comply" in the attached Inspection Report must be <br /> corrected within 30 days of receipt of this inspection. This certification form must be submitted to the <br /> Environmental Health Department(EHD) address at the top of this form within 30 days of receipt of the <br /> Inspection Report. <br /> All corrections to other violations noted in the attached Inspection Report(IR) or Continuation Form, or <br /> disputes to any violations, are to be submitted using this certification and returned to EHD within 30 dans <br /> unless otherwise specified in the Inspection Report. <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 ($105). <br /> For this Certification t0 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/rnanitests/training records/other appropriate paperwork, and/or photos <br /> verifying corrections <br /> • Operator's certification <br /> Inspection Date: jt,1z6)6j Inspected By: gOr-b aumja., <br /> Facility Address: 3Qrj3 AvrL+ 4zW-*n. c/a, EFA ID#: CSI- vCxS 1'�'�tzt <br /> yux�crc� cA 171217. <br /> 1 certify under penalty of law that: <br /> t. I have corrected the violations speed in the Inspection Report from the above-mentioned <br /> inspection date. <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR <br /> EACH VIOLATION and I believe the information to be true, accurate, and complete: <br /> Photos V 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 <br /> possibility of a fine and/or imprisonment for known violations. (HSC 25191) <br /> Name: Rte» �.� _ Title: •� <br /> Signatu �^- Date: ,vrti l0`' <br /> re � <br /> �•- <br /> y <br /> EHO 22-02-OM RM 08= <br />
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