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ARCHIVED REPORTS_XR0004594
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0507835
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ARCHIVED REPORTS_XR0004594
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Last modified
3/5/2020 12:23:35 PM
Creation date
3/5/2020 11:58:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004594
RECORD_ID
PR0507835
PE
2950
FACILITY_ID
FA0007793
FACILITY_NAME
SUPER STOP MARKET
STREET_NUMBER
290
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22309101
CURRENT_STATUS
02
SITE_LOCATION
290 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Page 24 of 27 <br /> • 1 The date, exact place, time, and methods of sampling or measurements, and sample <br /> preservation techniques or procedures <br /> 2 Who performed the sampling or measurement <br /> 3 The date(s) analyses were performed <br /> 4 Who performed the analyses <br /> 5 The analytical techniques or methods used <br /> 6 The results of such analyses <br /> F Falsifying Information <br /> Knowingly making any false statement on any report or other document required by this <br /> permit or knowingly rendering any monitoring device or method inaccurate, is a crime <br /> and may result in the imposition of criminal sanctions and/or civil penalties <br /> PART 11 ADDITIONAL REPORTING REQUIREMENTS <br /> A Planned Changes <br /> The permittee shall give notice to the City 90 days prior to any facility expansion, <br /> production increase, or process modifications, which results in new or substantially <br /> increased discharges or a change in the nature of the discharge <br /> B Anticipated Noncompliance <br /> The permittee shall give advance notice to the City of any planned changes in the <br /> permitted facility or activity that may result in noncompliance with permit requirements <br /> C Duty to Provide Information <br /> The permittee shall furnish to the City, within 30 days any information which the City <br /> may request to determine whether cause exists for modifying, revoking and reissuing, or <br /> terminating this permit, or to determine compliance with this permit The permittee shall <br /> also, upon request, furnish to the City within 30 days copies of any records required to be <br /> kept by this permit <br /> D Signatory Requirements <br /> I <br /> All applications, reports, or rnfonnatron submitted to the City must contain the following <br /> certification statement and be signed as required in paragraph 1, 2, 3, or 4 below <br /> "I certify under penalty of law that this document and all attachments were <br /> prepared under my direction or supervision in accordance with a system designed <br /> to assure that qualified personnel properly gather and evaluate the information <br /> submitted Based on my inquiry of the person or persons who manage the system, <br /> • or those persons directly responsible for gathering the information, the <br /> Permit No 05-3 <br /> Cardoza Enterprises <br />
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