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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0514138
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COMPLIANCE INFO_2021
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Last modified
8/18/2021 2:53:44 PM
Creation date
5/20/2021 11:00:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0514138
PE
2250
FACILITY_ID
FA0010034
FACILITY_NAME
PNP Stockton #80
STREET_NUMBER
3927
Direction
E
STREET_NAME
CLARK
STREET_TYPE
DR
City
STOCKTON
Zip
95215
APN
17917109
CURRENT_STATUS
01
SITE_LOCATION
3927 E CLARK DR
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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-- <br />Certification: <br />Hazardous Waste Tank Assessment <br />Stockton Pick -n -Pull <br />3927 Clark Drive <br />Stockton, CA 95215 <br />October 25, 2019 <br />"7 certify under penalty of law that this document and all attachments were prepared under my <br />direction or supervision in accordance with a system designed to assure that qualified personnel <br />properly gather and evaluate the information submitted. Based on my inquiry of the person or <br />persons who manage the system, or those persons directly responsible for gathering the information, <br />the information submitted is, to be the best of my knowledge and belief, true, accurate, and complete. <br />I am aware that there are significant penalties for submitting false information, including the <br />possibility of fine and imprisonment for knowing violations. " <br />Authorized Facility Representative <br />Charina Gaspay/ Regional Environmental Manager <br />Name/Title <br />Signature <br />Independent Qualified Professional Engineer <br />Thomas M. Hill, PE 28837 <br />Professional Engineer <br />Hazardous Waste Tank Assessment <br />Auto Parts Group — Pick -n -Pull <br />M <br />ri1CM.gI M. <br />HILL <br />C 28537 <br />9'� c <br />Stockton, CA <br />Project No. 04.20180027.00 <br />
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