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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0517536
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
1/25/2022 11:12:26 AM
Creation date
2/24/2020 10:11:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0517536
PE
2220
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
01
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Jun 02 04 10716a 01W Leri 209-ASO-9337 p• 1 <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT (it) JU,'- —'� pH, j: 03 <br /> 304 E.WEBER AVENUE <br /> STOCKTON, CA 98202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter Of Violation cited on: q=22-o`+ <br /> As Identified in the Inspection Report dated. _J_: Z.2-•o <br /> Conducted by: L (cw LA=c L c , V-.&A •_!�;: [EHD Inspector(s)j <br /> I certify under penalty of law that: <br /> 1 . Respondent has corrected the violations specified in the notice of <br /> violaticn 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 documents ignn and <br /> inquiry of the individuals who prepared of obtained it, I believed 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 tine and imprisonment for <br /> knowing violations. <br /> Co'64 e-0 a s <br /> a 90 5 W,�ErI IS%cyC:t CA-12,4 CnOO1 18` 41 <br /> Facility Address EPA 10 Number <br /> IL,;,���. (S�b _ 5 rorlita AAI ftez <br /> Name (Print of Type) Title <br /> ;- c1 <br /> Signature Date 6oned <br /> ENDCE'RT(rev t/V/02i <br />
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