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COMPLIANCE INFO_PRE 2019
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PR0516483
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
4/24/2019 4:49:33 PM
Creation date
10/31/2018 3:31:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0516483
PE
2220
FACILITY_ID
FA0012634
FACILITY_NAME
A ADVANCED AUTO BODY & COLLISION CNTR
STREET_NUMBER
23922
Direction
S
STREET_NAME
DARRIGO
STREET_TYPE
RD
City
TRACY
Zip
953047804
APN
25014009
CURRENT_STATUS
02
SITE_LOCATION
23922 S DARRIGO RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DARRIGO\23922\PR0516483\COMPLIANCE INFO 2018 - PRESENT.PDF
QuestysFileName
COMPLIANCE INFO 2018 - PRESENT
QuestysRecordDate
3/27/2018 6:03:31 PM
QuestysRecordID
3836793
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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%, SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3rd Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sj ov�.or /e 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 35 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 60 days <br /> unless otherwise specified in the IR. <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/manifests/training records/other appropriate paperwork, and/or photos <br /> verifying corrections <br /> • Operator's certification pe/ <br /> -�K .SS-f Solo/ n <br /> d.a <br /> Inspection Date: Inspected By: 3otk8,,. <br /> Facility Address: EPAID#: Gq Ccoer,to63Y8 <br /> I certify under penalty of law that: <br /> 1. I have corrected the violations specified in the Inspection Report from the above-mentioned <br /> inspection date. <br /> 2. I 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 ./ Paperwork Statement <br /> 3. I am authorized to submit this certification on behalf of the Respondent. <br /> 4. I 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:�Pdre,s/ 04 J—aVj.J Title: V' ,.tom urs <br /> Signature: />7 �r Date: - 3c>_ o S, <br /> EHD 22-02-005 Rev 12-04 <br />
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