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COMPLIANCE INFO_PRE 2019
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2200 - Hazardous Waste Program
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PR0519074
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COMPLIANCE INFO_PRE 2019
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Last modified
1/27/2022 2:51:34 PM
Creation date
1/5/2022 1:14:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0519074
PE
2220
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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05/10/2013 02: 12 FAX 12001/003 <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <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 : 1 316 2— <br /> As Identified in the Inspection Report dated <br /> Conducted by : S, e U eN 'S/-) � [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1 . Respondent has corrected the violations specified in the notice of <br /> violation cited above. <br /> 2. 1 have personally examined any documentation attached to the <br /> certification to establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and <br /> inquiry of the individuals who prepared or obtained it, I believe that <br /> the information is true, 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 <br /> information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> (Oct ( Cop;h1 '4t, CA-�-- ov� 15� <br /> Facility Address EPA ID. Number <br /> Name (Print or Type) Title <br /> 6t?L'-0--— �L /-�1/3� <br /> Signat re Date Signed <br /> EHDCERT(rev 1/07102) <br />
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