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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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ENVIRONMENTAL HEALTH DEPARTMENT <br />Donna K. Heran, R.E.H.S. <br />N: Director <br />Al Olsen, R.E.H.S. <br />JSP • Program Manager <br />cA�iFOR�� Laurie A. Cotulla, R.E.H.S. <br />Program Manager <br />October 5, 2004 <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />BROADBASE, INC <br />ATTN KYLE FOWLER <br />730 S BECKMAN RD, STE B <br />LODI CA 95240 <br />RE: Jiffy Lube #598, 1130 N. Main St., Manteca CA <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />Douglas W. Wilson, R.E.H.S. <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />San Joaquin County Environmental Health Department (EHD) performed a routine hazardous waste inspection on <br />June 17, 2004 at the above referenced site. <br />An inspection report was issued to you along with a request for pertinent information that was necessary in order to <br />bring this site into compliance. You were required to submit this information by July 17, 2004. <br />Failure to correct the violations will result in continuing/additional violations. Failure to submit the completed <br />hazardous waste information by October 17, 2004 will result in a re -inspection billed at EHD's hourly rate, which is <br />currently $93.00 or further legal action. <br />The missing information include(s); <br />EPA Identification number <br />Contingency Plan <br />Certification of Return to Compliance <br />(Signed & Dated) <br />[-' Consolidated Manifest Receipt(s) <br />Bill of Lading(s) <br />rTraining Records <br />[j Spill Prevention and Countermeasure Control Plan <br />Universal Waste Receipt(s) <br />[} Uniform Hazardous WasteManifest(s) <br />Most forms may be accessed from our web site address, write' eocities.com/unitid. <br />If you have any questions, please call Ray von FlUe, Sr. R.E.H.S. at (209) 468-9848. <br />Sincerely, <br />ra��s7. <br />Ray von Flue, Sr. REHS <br />Senior Registered Environmental Health Specialist <br />
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