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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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PR0514050
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
5/8/2019 1:10:45 PM
Creation date
11/1/2018 1:46:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514050
PE
2229
FACILITY_ID
FA0003741
FACILITY_NAME
JIFFY LUBE #598
STREET_NUMBER
1130
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
15120405
CURRENT_STATUS
01
SITE_LOCATION
1130 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
FRuiz
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\1130\PR0514050\COMPLIANCE INFO 2017 - PRESENT.PDF
QuestysFileName
COMPLIANCE INFO 2017 - PRESENT
QuestysRecordDate
8/16/2018 10:05:10 PM
QuestysRecordID
3683355
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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F,N !�0AtUIN COUNTY UNIF ) PROGRAM AGENCY <br />t"JIRONMENTAL HEALTH DEPARTMENT <br />'04 E. WEBER AVENUE - <br />STOCKTON, CA 95202 <br />__00� �Vs� <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />OC I^ ;? 0 2004 <br />ENVIP For Hazardous Waste Generators <br />�' <br />PERMI i; <br />In the matter of the Violation cited on: 4 � 0Y <br />As Identified in the Inspection Report dated: 6 �Z 6�7, N -'e— ( 5 1 � � A �T <br />Conducted by: ��% VPS �J [EHD Inspector(s)] 0&� <br />�( LCL. <br />certify under penalty of law that: 1z -r 1- RYZ_ Ld A, -S <br />-rAN �- r (- (2. E5sc' r <br />1. Respondent has corrected the violations specified in the notice of <br />violation cited above. pjj <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 />7-r . L "S <br />-1130 Nt M <br />4�►.� AAA `46x C�LDooy Llo3Z <br />, <br />Facility Address EPA ID. Number <br />Name (Pri t or Type) Title <br />04 <br />Signa'ure Date Signed <br />i r �fi Gk`1 1 CV <br />i <br />EHDCERT (rev 1107102) <br />
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