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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0513856
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COMPLIANCE INFO_PRE 2019
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Last modified
2/7/2020 1:15:21 PM
Creation date
2/7/2020 11:42:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0513856
PE
2220
FACILITY_ID
FA0003795
FACILITY_NAME
LIBERTY RURAL FIRE DISTRICT
STREET_NUMBER
24124
Direction
N
STREET_NAME
BRUELLA
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00731024
CURRENT_STATUS
01
SITE_LOCATION
24124 N BRUELLA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY L =1I PROGRAM AGENCY 7"; <br /> ENVIRONMENTAL HEALTH DIVISION ryVEU <br /> 304 E.WEBER AVENUE <br /> STOCKTON, CA 95202 APR 21 2000 <br /> ENVIRONMENTAL HEALTH <br /> CERTIFICATION OF RETURN TO COMPLIANCE PERMIT/ SERVICES <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: q f 3 <br /> As Identified in the Inspection Report dated <br /> Conducted by :1 i` d .0 Pe �''C4 ZrA- [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 /> KAREN KAMMERER DISTRICT SECRETARY <br /> Name(Print or Type) Title <br /> April 19, 2000 <br /> Signature^ Date Signed <br /> LIBERTY FIRE DISTRICT CAL 000216468 <br /> Company Name EPA ID.Number <br /> DTSC-RETCOMP.CRT(8/99) <br />
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