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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BLACK DIAMOND
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916
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2200 - Hazardous Waste Program
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PR0513623
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COMPLIANCE INFO
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Entry Properties
Last modified
12/5/2018 10:41:54 AM
Creation date
10/31/2018 10:21:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0513623
PE
2220
FACILITY_ID
FA0009078
FACILITY_NAME
FREIHS AUTO REPAIR
STREET_NUMBER
916
STREET_NAME
BLACK DIAMOND
STREET_TYPE
WAY
City
LODI
Zip
95240
APN
04917016
CURRENT_STATUS
02
SITE_LOCATION
916 BLACK DIAMOND WAY B
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BLACK DIAMOND\916\PR0513623\COMPLIANCE INFO\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
8/12/2013 8:00:00 AM
QuestysRecordID
2036128
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY UNIFIL.. 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: <br /> As Identified in theInspectionReport dated: << b <br /> Conducted by: AA it L�-Ld b L P [EHD Inspector(s)] <br /> 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 /> Fa I(icFa y Address EPA ID. Number <br /> �itF v 9flI12- , dAll <br /> Name (Print or Type) Title <br /> Signature ate Signed <br /> EHDCERT(rev 1/07/02) <br />
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