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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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JACK TONE
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2200 - Hazardous Waste Program
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PR0539709
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COMPLIANCE INFO_PRE 2019
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Last modified
12/6/2018 1:21:55 PM
Creation date
11/6/2018 8:39:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0539709
PE
2220
FACILITY_ID
FA0017952
FACILITY_NAME
PACIFIC SOUTHWEST IRRIGATION CORP
STREET_NUMBER
8372
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18308005
CURRENT_STATUS
01
SITE_LOCATION
8372 S JACK TONE RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\J\JACK TONE\8372\PR0539709\COMPLIANCE INFO .PDF
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EHD - Public
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03-04-' 15 15:49 FROM- s Environmental 661-322-8883_$ T-454 P0004/0012 F-956 <br /> t,. RECEIVED <br /> A.pplicableCerfificalaons APR 08 2015 <br /> PART 111, Authorizedg2 resen(attve ENVIRONMEN L <br /> Croaby6:Orcrton Profi(oNumbor - <br /> Men itistand 4inovemNumber asaochredwilh Was(aShipment <br /> ��T1'ACN <br /> CHSCKTHEAPPROPMTECERMI CATION <br /> x I. Generator's Certification(268.7(a)(2)(11)j forwaste that meets/keatmcntgtandards <br /> I cettifyunder ponalty o£law that r povomily havo examined and ora ramiliar with the waeto through analytls <br /> mrd tastlag or through lmowlodge of tho waste-to Support ibis cerhftratiun thar the waste cornpltes With(be treatment <br /> standard:speciticd in 40 UR,Part 266 Subpart])and ail applicablo prohibitions-et fortft in 4o CPR 268.32 orRCPA <br /> Saction3004(d). r believe that the inhona6onisubmitteaistrue,accura(cand.oomplota, Iamawarethattharoara <br /> slgoiticantpenaldes fbr submitting a falso cotlificationl including tho possibility of n 11no and imprisonment. <br /> 2. Waste Treated to RemWa Charao(erisGrs <br /> I cattily under penalty of haw that the waste has been treated in accordance with the requireorenta of40 CltP 26$40 to <br /> romovtthchattatdouseharactedado. This deoharactorizedwaste eonWasunderlying ha2ardoueeoustituontdthat <br /> requitefurdrar trsatmene to meet univcxeal aeahnenC standards. Iain aware that theca arosignifaanipenaldac for <br /> submitting a Mae oerdficatioa inoluding the possi68iby offPne.and imprisonu ant <br /> —3. Debrta Vested to meet Alternative Standards(266.7(d)(3)(11i)) <br /> I eertiry uadorpenalty of lawthat the debris has boen treated in acootdame with tho requirements of 40 CPR 265,45. I <br /> Ora award that there ata signilicantpeaalfles formaking a false cerliftca6on including the poesl6Nty of lite and <br /> itnprieotunant. <br /> . 4. Leib Packs to bo Treated byTnclneratlon(Cop(ifleatio)l must be completed.)APP end lz IV Ub Paclu <br /> I cert£y under penalty of law that I have pers01139Y examined audamfamiliarwlth the wasto an6 that ft lab pack <br /> contains only tvasres wltichhavo not boon exaluded underAppnndix IV to 40 Celt part 268 ocsoltd wastes not aubjecL <br /> to regulagoa uudor40 CP)t fart 261. I am aware t64t11aexe axo sigiifiaantpenaldes for submittinSafalse osrti6cation, <br /> including the p"ibiacy o£fioe or imprisonment. <br /> 5, Appendlg V Lab tack., ' ' <br /> I co firy underponoiy of law that I personally have examined end amtantiliarwitth the waste throu4 analysis tasting or <br /> fl roughlrtowledp of the waste and tltatthe lab pact:eontains only orgsnie waste specified In AppomdlkV to pert 268 <br /> orsolidwastmmtartbjeettoregulattonuuderPart261. Camaware thatthoroarc atgaifieantponaltie for submitlit>ga <br /> also cartillaatiom,iuolu6ing the p6saibility of rmo or imprisoz=nt, <br /> Signature telntNaare �/� // rf <br /> �� r Date <br /> TWO, `i <br /> 3ofS <br />
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