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COMPLIANCE INFO 2003-2016
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PR0514377
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COMPLIANCE INFO 2003-2016
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Entry Properties
Last modified
12/23/2019 11:11:57 AM
Creation date
11/2/2018 8:13:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2016
RECORD_ID
PR0514377
PE
2220
FACILITY_ID
FA0010554
FACILITY_NAME
TAYLOR FARMS PACIFIC INC
STREET_NUMBER
100
Direction
W
STREET_NAME
VALPICO
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
24802015
CURRENT_STATUS
02
SITE_LOCATION
100 W VALPICO RD STE A
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VALPICO\100\PR0514377\COMPLIANCE INFO 2003-2016.PDF
QuestysFileName
COMPLIANCE INFO 2003-2016
QuestysRecordDate
6/21/2018 11:45:17 PM
QuestysRecordID
3922355
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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• SAN JOAQUIN COUNTY • HO-10MVEDD <br /> ENVIRONMENTAL HEALTH DEPARTMENT MAY `' 7 L`U id <br /> 600 East Main Street, Stockton, CA 95202-3029 f N n � <br /> Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.s' OENT,� �A'- � <br /> I i F/ISERViCES <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations-noted-in the "Notice,to Comply" in the attached Inspection Report must be <br /> co rfected:with`ir-89 dais of receipt of this inspection. This certification form Must be submitted to, e <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 days.... <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. <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 <br /> Inspection Date: 0H Inspected By: S '1yc r� <br /> Facility Address: ioQ L0 C-0 Rat EPA ID#:(_ALQQDEf 2Z� <br /> certify under penalty of law that: <br /> 1. 1 have corrected the violations specified 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 /> Photosy Paperwork Statement <br /> 3. I 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:,yo§ 0,(-en 0 Title: lel-- <br /> Signat Date: <br /> EHD 22-02-005 Rev 10/09 - <br />
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