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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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V
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VAL DERVIN
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107
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2231-2238 – Tiered Permitting Program
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PR0507228
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
8/26/2020 10:35:17 AM
Creation date
7/30/2020 7:46:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0507228
PE
2232
FACILITY_ID
FA0007083
FACILITY_NAME
B & C PAINTING SOLUTIONS INC
STREET_NUMBER
107
STREET_NAME
VAL DERVIN
STREET_TYPE
PKWY
City
STOCKTON
Zip
95206
APN
19337005
CURRENT_STATUS
02
SITE_LOCATION
107 VAL DERVIN PKWY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\Tiered Permitting\V\VAL DERVIN\107\PR0507228\COMPLIANCE INFO.PDF
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EHD - Public
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Cal-EPA DEPARTMENT OF TCXIC SLI-STANCES CONTROL GRAY DAVIS, Governor <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E.WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> TIERED PERMITTING <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> In the matter of the Violation cited on: <br /> As Identified in the Inspection Report dated <br /> Conducted by: P IvC' E� h (agency(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. 1 am authorized to file this certification on behalf of the Respondent. <br /> 5. 1 am aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> Uvf,, � � 04VJA�C2 <br /> Na//mee(Print or Type) Title <br /> 9—Zq—t3 L7 <br /> Signature U Date Signed <br /> (j6,T6;!,J unci f rrwG (-Q- 0000 <br /> Company Name EPA ID. Number <br /> DTSC-REfCOMP.CRT(2/99) <br /> `�.�" <br />
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