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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0520655
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
5/16/2019 1:36:35 PM
Creation date
6/9/2018 9:06:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0520655
PE
1919
FACILITY_ID
FA0006596
FACILITY_NAME
TACO BELL #34185
STREET_NUMBER
3714
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
13002007
CURRENT_STATUS
01
SITE_LOCATION
3714 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\3714\PR0520655\COMPLIANCE INFO .PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
9/7/2016 11:27:10 PM
QuestysRecordID
3185272
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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• <br /> a4't`Aa'Fo COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES RONALDI-BALDWIN <br /> ROOM 610,COURTHOUSE � <br /> 222 EAST WEBER AVENUE <br /> • i r STOCKTON,CALIFORNIA 95202 D <br /> 'rCi a o'11?( <br /> TELEPHONE(209)468-3962 DEC 1 7 1998 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> 1999 HAZARDOUS MATERIALS MANAGEMENT PLININC ltq ( '1Ty <br /> CERTIFICATION STATEMENT tsu ( stevices <br /> 1. Business Identification Page, HMMP Unstaffed Facility Network Attachment and Facility <br /> Map - Check one box only. <br /> 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 Page1HMMP (HMMP97.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 <br /> /Inventory (Chemical Description Papel - Check Box A or B <br /> A. Zr 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 available): <br /> I understand that false/inaccurate information may make my company liable in an emergency. <br /> Business Name OCAT, INC <br /> Site Address 3714 E. Hammer Ln, Stockton 95212 <br /> Facility Operator/Owner J. Allen Beebe Title CEO <br /> (PRIM) <br /> Signature Date <br />
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