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COMPLIANCE INFO PRE 2019
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2200 - Hazardous Waste Program
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PR0514068
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COMPLIANCE INFO PRE 2019
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Entry Properties
Last modified
8/6/2019 10:10:59 PM
Creation date
8/6/2019 12:00:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514068
PE
2227
FACILITY_ID
FA0009865
FACILITY_NAME
KIA COUNTRY
STREET_NUMBER
1515
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21619005
CURRENT_STATUS
01
SITE_LOCATION
1515 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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SAN JOAQUIN COUNTY UNIF, PROGRAM AGENCY MAr� <br />ENVIRONMENTAL HEALTH DEPARTMENT I �FjN i J^5 <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />Cef're0- <br />CERTIFICATION OF RETURN TO COMPLIANCE (0\-1 <br />For Hazardous Waste Generators D I U{1 <br />In the matter of the Violation cited on: Gl I S <br />As Identified in the Inspection Report dated: S <br />Conducted by: V -0'j �V-f/ [EHD Inspector(s)] <br />I certify under penalty of law that: <br />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 />Cep+-�,j N � 55 � J tC.M <br />iys N, 4A�� &E-. Ca�c9do��3�S <br />Facility Address EPA ID. Number <br />Name (Print or Type) Title <br />ignature Date Signed <br />EHDCERT (rev 1107102) <br />
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