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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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PR0516192
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
1/9/2019 11:35:52 AM
Creation date
11/1/2018 10:52:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0516192
PE
2220
FACILITY_ID
FA0012503
FACILITY_NAME
SAN JOAQUIN RIVER CLUB
STREET_NUMBER
30000
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
24115001
CURRENT_STATUS
01
SITE_LOCATION
30000 KASSON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KASSON\30000\PR0516192\COMPLIANCE INFO PRE 2016.PDF
QuestysFileName
COMPLIANCE INFO PRE 2016
QuestysRecordDate
3/11/2016 6:14:40 PM
QuestysRecordID
3029326
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN IOAQUIN COUNTY UNIFIF—PROGRAM AGENCY DV1 b (10[I,-t( <br /> ENVIROMMENTAL HEALTH DIV1enON v <br /> 304 E. VJ'EBER 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:IUo <br /> As Identified in the Inspection Report dated /d /' <br /> Conducted by: Al V�(A� GT. _[EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation cited <br /> above. <br /> 2. 1 have personally examined any documentation attached to the certification to <br /> establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and inquiry of the <br /> individuals who prepared or obtained it, I believe that the information is true, <br /> accurate, and complete. <br /> 4. I am authorized to file this certification on behalf of the Respondent. <br /> 5. I am aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> Name(Print or Type) Title <br /> iv <br /> i ire <br /> Me gigned <br /> ,57 <br /> Company Name EPA ID. Number <br /> DTSC-RETCOMP.CRT(8/99) <br />
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