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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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EHD - Public
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Wf, B6 ala Ilao� <br />SAN JOAQUIN COUNTY UNIFIE 'ROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. WEBER AVENUE <br />STOCKTON,CA 95202 <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on: <br />As Identified in the Inspection Report dated jaidlIq� <br />Conducted by: A l l5O n (EHD Inspector(s)] <br />I certify under penalty of law that: <br />1. Respondent has corrected the violations specified in the notice of violation cited <br />above. <br />2. I have personally examined any documentation attached to the certification to <br />establish that the violations have been corrected. <br />3. Based on my examination of the attached documentation and inquiry of the <br />individuals who prepared or obtained it, I believe that the information is true, <br />accurate, and complete. <br />4. I am authorized to file this certification on behalf of the Respondent. <br />5. I am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. <br />Name (Print or Type) Title <br />4 Le��A-' Z--� —1 - 1124Z© U <br />Signature Dae Signed <br />e'Dwyom �Jissa'VL IK[a CAn. 04 ,5 <br />CompanyN �e EPA ID. Number <br />DTSC-RETCOMP.CRT (8/99) <br />
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