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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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PR0517880
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
7/27/2020 8:37:58 AM
Creation date
2/24/2020 11:02:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0517880
PE
2220
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
01
SITE_LOCATION
2908 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 PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <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: D 2 )02- <br />As <br />Identified in the Inspection Report dated: q26 �L <br />Conducted by: � �''� �L �'`�' ! V`' -y-`% r0le`j [EHD Inspector(s)] <br />certify under penalty of law that: <br />1. Respondent has corrected the violations specified in the notice of <br />violation 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 documentation and <br />inquiry of the individuals who prepared or obtained it, I believe 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 fine and imprisonmentfor <br />knowing violations. <br />Z�ibA Bct,) - ��� D�v2H$�&i1 <br />Facility Address EPA ID. Number <br />4 ??4-/,f / 1, / �iry/ o!r-ten llrl ✓��Ic-�IS <br />Name (Print or Type) Title <br />/o -Z.,P v <br />Signature Date Signed <br />EHDCERT (rev 1107102) <br />
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