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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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1900 - Hazardous Materials Program
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PR0519809
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
2/1/2019 11:18:15 AM
Creation date
6/9/2018 1:37:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0519809
PE
1921
FACILITY_ID
FA0002541
FACILITY_NAME
7-ELEVEN INC #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
11002003
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\D\DA VINCI\4627\PR0519809\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
11/9/2015 7:04:30 PM
QuestysRecordID
2916955
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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COUNTY OF SAN JOAQUIlv <br /> �4 �y OFFICE'OF EMERGENCY SERVICES .RONALD&aAIDWIN <br /> ' ROOM 610,COURTHOUSE COORDll�[ATOR <br /> 222 EAST WEBER AVENUE <br /> STOCKTON,CALIFORNIA 95202 1 qn JAN i 1999 <br /> TELEPHONE(209)468-3962 I <br /> �i iwY <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> 1999 HAZARDOUS MATERIALS MANAGEMENT PLANANVENTORY <br /> CERTIFICATION STATEMENT <br /> 1. Business Identification Pae BMW.Unstaffed Facility Network Attachment and Eacility <br /> Map - Check one box only. <br /> A. a I certify that there have been no changes to the above listed documents since <br /> our business's last update or change was submitted. <br /> B. I certify that there has been a change to one or more of the above documents <br /> and that either 1)appropriate revised hard copy forms,or 2) a complete revised <br /> electronic copy of our Business ID PagefflM[ P(BAIW97•FP3 File) and,if <br /> appropriate,our Unstaffed Attachments(STAFF97.FP3 File)has/have been <br /> transmitted concurrently with this Certification Statement. <br /> 2. Chemical Invento Chemical Description Pae - Check Box A or B <br /> A. a I certify that the information contained in the most recently submitted chemical <br /> inventory is complete,accurate,up to date, and contains the information <br /> required by Section 11022 of Title 42 of the United States Code. i further <br /> certify that there has been no change in the quantity of any hazardous material <br /> reported and that no hazardous materials are being handled that are not listed. <br /> B. I certify that there has been a change in our chemical inventory since the last <br /> chemical inventory was submitted and either 1)completed hard copies of <br /> Chemical Description Pages with"Add", "Delete", or"Revised"marked <br /> appropriately,or 2)a complete revised electronic copy of our chemical <br /> inventory (CHEM97.FP3 File)has been transmitted concurrently with this <br /> Certification Statement. <br /> 3. Environmental Contact E-Mail Address(if ay lablel <br /> I understand that false/inaccurate information may rmake my company liable in an emergency. <br /> Business Name cf <br /> Site Address <br /> Facility Operator/ er Bob DeNinno Title <br /> Environmental Manager / �+ <br /> Signature <br /> Date <br />
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