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COMPLIANCE INFO_2020
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2800 - Aboveground Petroleum Storage Program
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PR0528648
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COMPLIANCE INFO_2020
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Last modified
4/27/2020 4:29:11 PM
Creation date
4/27/2020 4:07:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0528648
PE
2832
FACILITY_ID
FA0019249
FACILITY_NAME
RIPON FUEL FACILITY
STREET_NUMBER
240
STREET_NAME
DOAK
STREET_TYPE
Blvd
City
RIPON
Zip
95366
APN
25933015
CURRENT_STATUS
01
SITE_LOCATION
240 Doak Blvd
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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SAN J O A Q U I N Environmental Health Department <br /> _..COU NTY- <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations noted in the"Notice to Comply"in the attached Inspection Report must be corrected within 30 days of <br /> receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD)address at <br /> the bottom of this form within 30 days of receipt of the Inspection Report. HSC 25404.1.2(c)(1) <br /> All corrections to other violations noted in the attached Inspection Report(IR)or Continuation Form,or disputes to any <br /> violations,are to be submitted using this certification and returned to EHD within 30 days unless otherwise specified in the <br /> Inspection Report. HSC 25185(c)(3) <br /> Note: All EHD staff time associated with failing to comply by the above noted dates will be billed <br /> at the current hourly rate. <br /> For this certification to be complete, the operator of the site must include: <br /> A statement documenting what corrective actions were taken or will be taken for each violation <br /> Copies of sample results/manifestsftraining records/other appropriate paperwork,and/or photos verifying corrections <br /> Operator's certification <br /> Inspection Date: July 19, 2018 Inspected By: CESAR RUVALCABA <br /> Facility Address: 240 Doak Blvd, RIPON CERS ID: 10187143 <br /> 1 certify under penalty of law that: <br /> 1. 1 have corrected the violations specified in the Inspection Report from the above-mentioned inspection date. <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> and I believe the information to be true,accurate,and complete: <br /> Photos X Paperwork Statement <br /> 3. 1 am authorized to submit this certification on behalf of the Respondent. <br /> 4. 1 am aware that there are significant penalties for submitting false information, including the possibility of a fine <br /> and/or imprisonment for known violations. (HSC 25191) <br /> Name: James Pease Title: Public Works Director <br /> Signature: Date: April 24, 2020 <br />
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