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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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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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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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EHD - Public
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SAN JOAQUIN COUNTY UNIFIED .OGRAM AGENCY �J, <br /> �,�. J��l� HClf- <br /> =NVIRONMENTAL HEALTH DIVISION <br /> 304 E. WEBER AVENUE <br /> 3TOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: 01 <br /> As Identified in the Inspection Report dated q <br /> Conducted by : �fi/i5 , zqj 5rn t-k 6 b/o od [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 /> Signature Date Signed <br /> Company Name EPA ID.Number <br /> DTSC-RETCO%IP.CRT(8/99) <br />
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