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COMPLIANCE INFO_2020
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1900 - Hazardous Materials Program
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PR0520260
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
7/20/2020 8:27:10 AM
Creation date
7/8/2020 11:11:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0520260
PE
1921
FACILITY_ID
FA0010194
FACILITY_NAME
RIGMASTER TRUCK REPAIR
STREET_NUMBER
1627
Direction
S
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16502002
CURRENT_STATUS
01
SITE_LOCATION
1627 S CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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OP,pulN <br /> S AN.]O A Q U I N Environmental Health Department <br /> "' t COUNTY <br /> cgciP� Greatness grows here. <br /> HAZARDOUS MATERIALS DISCLOSURE SURVEY <br /> A separate survey form is required for each business name and/or address in San Joaquin County. <br /> Business Name: Rigmaster Truck Repair Inc Telephone: 20eL5i5 18nn <br /> Business Site Address: 1627 S Center Street Stockton, CA 95206 <br /> Mailing Address(if different from above): 16300 McKinley Avenue Lathrop, CA 95330 <br /> Business Owner(s) Name: nilhagh Singh Telephone: 2ng r)nEii 1 s n n <br /> Business Owner Address: 16300 McKinley Avenue Lathrop CA 95330 <br /> Nature of Business: Large Truck Repair Fire District: <br /> Q1. ❑Yes ❑ No Does your business handle a hazardous material in any quantity at any one time in the year? <br /> See the definition of hazardous material on page 2 of this form. <br /> ❑Yes ❑ No Does your business generate,treat,or store a hazardous waste in any quantity?(used oil,used <br /> antifreeze,waste solvent,etc.) <br /> If your answer is"No"to both questions in Q1,please print,sign,and date the bottom of this form and return to the address above. <br /> Q2. /Yes ❑No Does your business handle a hazardous material,or a mixture containing a hazardous material, <br /> in a quantity equal to or greater than 55 gallons,500 pounds,or 200 cubic feet at any one time <br /> in the year? <br /> If"Yes", how long have you handled these materials at your business? 3-4 months <br /> If"Yes",check any of the following conditions that apply to your business: <br /> ❑A. The hazardous materials handled by this business are contained solely in a consumer product <br /> packaged for direct distribution to and use by the general public. <br /> ❑ B. This business operates a farm for purposes of cultivating the soil, raising or harvesting an <br /> agricultural or horticultural commodity. <br /> Q3. ❑Yes v(No Does your business handle an Acutely Hazardous Material? See definition on page 2. <br /> Q4. ❑Yes /No Is your business within 1,000 feet of the outer boundary of a school?(Grades K-12) <br /> I have read the information on this form and understand my requirements under Chapter 6.95 of the California Health and Safety <br /> Code(HSC). I understand that if I own a facility or property that is used by tenants,it is my responsibility to notify the tenants of the <br /> requirements which must be met prior to issuance of a Certificate of Occupancy or beginning of operations. I declare under the <br /> penalty of perjury that the information provided on this disclosure survey is true and accurate to the best of my knowledge. <br /> If you answered"Yes"to Question 2, please go online to cers.calepa.ca.gov to submit your hazardous materials information. <br /> Owner or Authorized Agent: <br /> Print Name: nilhagh Singh 1 Jne('anas-Consultant for nwnpr Date: july A, 9n9n <br /> Signature: 70e Cana3 Title: Consultant <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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