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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0514138
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
2/28/2019 4:22:31 PM
Creation date
10/31/2018 12:27:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514138
PE
2230
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
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CLARK\3927\PR0514138\COMPLIANCE INFO 1991 - 2011.PDF
QuestysFileName
COMPLIANCE INFO 1991 - 2011
QuestysRecordDate
11/14/2017 5:47:21 PM
QuestysRecordID
3727153
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SENT BY. PICK-N-PULL 480; 2094622984; JUL-26-06 1 :59PM; PAGE 1 /1 <br /> �tNf BY; PICK-IN-PULL #80; 209d822�3?30; JUL-5-, �3� <br /> I <br /> SAN J®,a <br /> i 4iJ7N'ebUNTY <br /> { EN-v RONmwTfTAL HEALTH U%pAk M$NT <br /> I 304 Ram Weber Avenue. -I"FI-Ir, StocktoA4 CA 95202 48 <br /> k0XV(2")468-3420 Fes. ,33(209)468-34wee! s � <br /> r; <br /> V =� <br /> URIN TO CO LIANCE CERT 1'I AW- BC H <br /> Ajay IN(R viol iv noted in the-Wotice tin Cv:u jin the ES <br /> corrects wit?fi da of'receiptofthis ir]Spection. This cttrifieni f� nOu rn': be <br /> Envirof"Lal H ust the s anis E :i to the <br /> cperit (EHp)Rddlress at the top of this form wi 35 da f re: ; ipt Uf the <br /> i�PC�tlolry report, <br /> All ;prMqtj.2ns tan i jq[t ns notes[iA the;attacheddisputes to any viol zf aro Eo be submitted using this certification and rMI or CvnL [io Form,or <br /> UWess athGrwise Sp 'Cifin the TR, cd to -W-1 . n 60 days <br /> FOr this cerci 1c ion to be compYete th, ,Qperat*r of rhe site <br /> ust inclu <br /> • A stateme do tinting what C*rTeetive actions wCM taken or will bi i taken fo b [elation <br /> • Copies of s p result5/rriWfestsftra3nin recerds/6thcr <br /> verify]4 c S appropriate r d/. photos <br /> Operator's rti Tion <br /> Inspection Date: txti� 24)tV Oio haspected By; J U� <br /> Facility Address: MIV`L EPA i#: c+a <br /> T certify under p of law that. <br /> 3. I have c d violations specified in the Inspection RLpoyt i"mrrt a ahove� tit ed <br /> inspection d t�C, <br /> 2- t have perso 113 karnined the f0 lowing docurttentadon submitta <br /> 1 d�a f of co pha } ;e FOR <br /> RACH VIO T and I believe the inforxnatinn to be true, GwrarG, d cornpl <br /> i <br /> " _Ptivtvs <br /> Paperwork <br /> Statevn t <br /> 3. 1 afn uuthoriz t ubrait this certifCati0n ori 4'A211'ofthe Respondent. <br /> 4. T am aware tBol t are sigiffleAntenalties for submi <br /> P ttuW raise inforn tion, ins c3iq he <br /> Possibility ofand/or hnPrisonmentt for known violations. (HSC 25 g1) <br /> Nat�ie� Tide:t <br /> Signature: Dae: <br /> _ bra <br /> ZOo� �t nd-H- i�Id Cool 699 PTO 3 B ' _�T 9ooZ/SZiLt) <br />
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