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3500 - Local Oversight Program
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PR0545209
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/27/2020 4:43:23 PM
Creation date
1/27/2020 4:25:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545209
PE
3528
FACILITY_ID
FA0003963
FACILITY_NAME
TRACY76
STREET_NUMBER
2420
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
Tracy
Zip
95377
APN
23802006
CURRENT_STATUS
02
SITE_LOCATION
2420 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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11/25!2@03 11;33 2094671118 AGE STOCKTON PAGE 02/02 <br /> i <br /> DECLARATION <br /> (N a nMkg -Ngirca ImunitVJ <br /> 1, J-0,E57 0-� declare that I understand the definition of a public <br /> (name Of6—erar lep;all)ragthorized mpmantativa) <br /> water system, as defined in the California Hcalth and Safety Code (CH&SC), Division 104, Part <br /> 12, Chapter 4 (California Safe Drinking Water Act), Article 1, Section 1.16275(h), to mean that a <br /> public water system is "A system for the provision of water for human consumption through <br /> pipes or other constructed conveyances that has 15 or more service connections or regularly <br /> serves at least 25 individuals daily at least 60 days out of the year." <br /> Furthermore, I understand the definition of a nontransient-noncommunity water system, as <br /> defined in Section 116275(k), to mean "a public water system that is not a community water <br /> system and that regularly serves at least 25 of the same persons over 6 months per year." <br /> Furthermore, .I declare that I understand that Section 116275(e) defines human consumption as <br /> "thc use of water for drinking, bathing or showering, hand washing,or oral hygiene." <br /> Furthermore, I declare that 1 understand that Section 116725 of the CH&.SC states that "Azty <br /> person who knowingly makes any false statement or representation in any application, record, <br /> report, or other document submitted, maintained, or used for purposes or compliance with this <br /> chapter(California Safe Drinking Water Act (AB 2995)), may be liable for a civil penalty not to <br /> exceed five thousand ($5,000) for each separate violation or, for continuing violations, for each <br /> day that violation continues." In addition, Section 116730 of the CH&SC states that violators <br /> may be prosecuted in criminal court and upon conviction,be punished by a fine of not more than <br /> $25,000 for each day of violation, or by inmpriwnnnent in the county jail not to exceed one year, <br /> or by both the fine and imprisonment. <br /> In recognition of the above, declaring that I understand the definition of a public water system <br /> and the peralty for giving false information,I declare that my facility, 7a ir T&tr,�.W— <br /> &AMAcJ (namc or F346 )— <br /> does not meet the definition, of a public water system <br /> because #does not SON moil than a RemIgor is 0 dgys effLofAe Vear. <br /> v <br /> Date <br />
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