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EHD Program Facility Records by Street Name
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MOFFAT
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1869
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2200 - Hazardous Waste Program
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PR0514382
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COMPLIANCE INFO
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Last modified
6/30/2020 10:43:52 AM
Creation date
6/23/2020 6:26:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0514382
PE
2220
FACILITY_ID
FA0010601
FACILITY_NAME
AQUA POOL & SPA
STREET_NUMBER
1869
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
953369702
APN
22805006
CURRENT_STATUS
02
SITE_LOCATION
1869 MOFFAT BLVD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0514382_1869 MOFFAT_.tif
Tags
EHD - Public
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SAN JOAQUIN COUNTY UNIFIEWROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DIVMN <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: 311o .1 <br /> As Identified in the Inspection Report dated 41 ,2 <br /> Conducted by: AMS YQ ,61 ,, [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 /> C►�Gc.0 L l 15�I 1� <br /> Company Name EPA ID.Number <br /> DTSC-RETCOMP.CRT(8/99) <br />
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