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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MARCH
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255
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2231-2238 – Tiered Permitting Program
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PR0506950
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COMPLIANCE INFO_PRE 2019
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Last modified
8/31/2020 12:00:27 PM
Creation date
7/30/2020 7:45:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0506950
PE
2234
FACILITY_ID
FA0007681
FACILITY_NAME
EXPRESS ONE STOP PHOTO SHOP
STREET_NUMBER
255
Direction
E
STREET_NAME
MARCH
STREET_TYPE
LN
City
STOCKTON
Zip
95207
APN
10213010
CURRENT_STATUS
02
SITE_LOCATION
255 E MARCH LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\Tiered Permitting\M\MARCH\255\PR0506950\COMPLIANCE INFO.PDF
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EHD - Public
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•EPA IDNUMBERPage 3 of� <br /> VI. ATTACHMENTS: <br /> 1. A plot plan/map detailing the location(s)of the covered unit(s) in relation to the facility boundaries. <br /> 2. A unit specific notification form for each unit to be covered at this location. <br /> VII. CERTIFICATIONS: This form must be signed by an authorized corporate officer or any other person in the company who <br /> has operational control and performs decision-making functions that govern operation of the facility(per title 22, California <br /> Code of Regulations (CCR) section 66270.11). All three copies mart have original signatures. <br /> Waste Minimization I certify that I have a program in place to reduce the volume, quantity, and toxicity of waste generated to the <br /> degree I have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or <br /> disposal currently available to me which minimizes the present and future threat to human health and the environment. <br /> Tiered Permitting Certification I certify that the unit or units described in these documents meet the eligibility and operating <br /> requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment <br /> requirements. I understand that if any of the units operate under Permit by Rule or Conditional Authorization,I will also be required <br /> to provide required financial assurances by January 1, 1994, and conduct a Phase I environmental assessment by January 1, 1995. <br /> 1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance <br /> with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry <br /> of the person or persons who manage the system, or those directly responsible for gathering the information, the information is, to <br /> the best of my knowledge and belief, true, accurate, and complete. <br /> I am aware that there are substantial penalties for submitting false information, including the possibility of fines and imprisonment <br /> for knowing violations. <br /> f�4nMrl G ,�I/�sv V P j <br /> N t o Title / <br /> Signature Date Signed <br /> OPERATING REQUIREMENTS: <br /> Please note that generators treating hazardous waste onsite are required to comply with a number of operating requirements which <br /> differ depending on the tier(s) under which one operates. These operating requirements are set forth in the statutes and regulations, <br /> some of which are referenced in the Tier-Specific Factsheets. <br /> SUBMISSION PROCEDURES: <br /> You must submit tnw cooita of this completed notification by certified mail, return receipt requested, to: <br /> Department of Toxic Substances Control <br /> Form 1772 <br /> Onsite Hazardous Waste Treatment Unit <br /> 400 P Street, 4th Floor (walk in only) <br /> P.O. Box 806 <br /> Sacramento, CA 95812-0806. <br /> You must also submit one coov of the notification and attachments to the local regulatory agency in your jurisdiction as listed in the <br /> instruction materials. You must also retain a copy as part of your operating record. <br /> All three forms must have original signatures, not photocopies. <br /> DTSC 1772 (1/93) Page 3 <br />
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