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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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SAN JOAQUIN COUNTY UNIFIF" PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DIVA—tON <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 the Inspection Report dated 2 <br /> Conducted by: Ai (�n V b(/(,y k l'nr E l+S [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. I 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 /> Signature Date Signed <br /> 03ZCoLu-,b e- CAL, 0000110 ,57- <br /> Company <br /> mpany ame EPA ID.Number <br /> DTSC-RETCOMP.CRT(8/99) <br />
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