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COMPLIANCE INFO PRE 2019
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2200 - Hazardous Waste Program
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PR0518421
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COMPLIANCE INFO PRE 2019
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Last modified
6/5/2019 4:25:56 PM
Creation date
6/5/2019 4:08:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0518421
PE
2220
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
01
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY UNIF PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT304 E. WEBER AVENUE <br /> �l <br /> STOCKTON, CA 95202 GSL C I 1 VFX <br /> AUG 14 2002 <br /> CERTIFICATION OF RETURN TO COMPLIANCE ENVIRONMENT HEALTH <br /> PERMIT/SERVICES <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: 62 <br /> As Identified in the Inspection Report dated: <br /> Conducted by: CPN V0/1 P�V [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of <br /> violation cited above. <br /> 2. 1 have personally examined any documentation attached to the <br /> certification to establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and <br /> inquiry of the individuals who prepared or obtained it, I believe that <br /> the information is true, accurate, and complete. <br /> 4. 1 am authorized to file this certification on behalf of the Respondent. <br /> 5. 1 am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> Z]7�cz*)55- (oullkrcl C lul-) C NL D00 2.0 S ZZ <br /> Facility Address kEPA ID. Number <br /> ce:� GA„. li S M :I ►E&L EuVlfolo <br /> Name (Print or Type) Title <br /> 0-L- <br /> Date' <br /> Date Si6ned <br /> EHDCERT(rev 1107102) <br />
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