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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0514305
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COMPLIANCE INFO
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Entry Properties
Last modified
12/5/2018 10:43:29 AM
Creation date
10/31/2018 12:39:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0514305
PE
2220
FACILITY_ID
FA0010389
FACILITY_NAME
WESTERN RADIATOR SVC OF LODI
STREET_NUMBER
12
Direction
S
STREET_NAME
CLUFF
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04909029
CURRENT_STATUS
01
SITE_LOCATION
12 S CLUFF AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CLUFF\12\PR0514305\COMPLIANCE INFO 2016 - PRESENT.PDF
QuestysFileName
COMPLIANCE INFO 2016 - PRESENT
QuestysRecordDate
9/13/2017 11:22:44 PM
QuestysRecordID
3635882
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY UNIFIEWROGRAM AGENCY • <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. WEBER AVENUE <br /> STOCKTON, CA 95202 r^ <br /> rJ <br /> c� <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators o <br /> N <br /> cJ1 <br /> In the matter of the Violation cited on:_.U _ <br /> As Identified in the Inspection Report dated ` <br /> Conducted by: N1 <br /> �q� Pzdr( Z� ('ckjV Lk_., [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation cited <br /> above. <br /> 2. 1 have personally examined any documentation attached to the certification to <br /> establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and inquiry of the <br /> individuals who prepared or obtained it, I believe that the information is true, <br /> accurate, and complete. <br /> 4. I am authorized to file this certification on behalf of the Respondent. <br /> 5. I am aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> Na em(Print or Type) Title <br /> GJ l;-,A/o d <br /> Signature Date Signed <br /> �i✓�f�-� �a�� r -�c✓v�ce C14Lyool16 Zq; <br /> Company Name EPA ID.Number <br /> DTSC-RETCOMP.CRT(8/99) <br />
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