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COMPLIANCE INFO 2002 - 2015
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PR0514152
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COMPLIANCE INFO 2002 - 2015
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Last modified
12/23/2019 11:11:57 AM
Creation date
11/6/2018 8:41:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2015
RECORD_ID
PR0514152
PE
2228
FACILITY_ID
FA0010067
FACILITY_NAME
JIFFY LUBE #2497
STREET_NUMBER
4715
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10437012
CURRENT_STATUS
01
SITE_LOCATION
4715 N WEST LN
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\W\WEST\4715\PR0514152\COMPLIANCE INFO 2002 - 2015.PDF
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Dec 28 15 03:34p Jiffy Lube 2497 2099521663 p.2 <br /> • <br /> A:WM RECEIVED <br /> ELS <br /> Hazardous Waste Tank Certification DEC 2 8 2015 <br /> Used Oil Tank <br /> Jiffy-Lube Store #2497 ENVIPONMENTAL <br /> 4715 N. West Lane, Stockton, CA 95210 W=arTU n=000Ten=n+T <br /> Summary: The used oil tank and containment system at the Jiffy Lube Store#2497(automotive <br /> maintenance facility)operated by Broadbase, Inc. is located at 4715 N.West Lane, Stockton, CA <br /> 95210, and it meets the applicable tank standards for storage of hazardous wastes per Title 22 of the <br /> California Code of Regulations, sections 66265.190 et seq. <br /> The attached,Table 1 —Assessment of Used Oil Tank System, provides detailed descriptions of this <br /> tank system's current or planned compliance with the appropriate sections of the California hazardous <br /> waste regulations. <br /> I attest that the tank system assessed in this report has sufficient structural integrity, is acceptable for the <br /> storing of hazardous waste, and that the tank and containment system are suitably designed to achieve <br /> the requirements of Title 22 California Code of Regulations, Division 4.5, Chapter 15,Article 10,Sections <br /> 66265.192 and 66165.193. <br /> 1 certify under penalty of law that this document was prepared under my direction or supervision in <br /> accordance with a system designed to ensure that qualified personnel properly gather and evaluate the <br /> information submitted. Based on my inquiry of the person or persons who manage the system, of those <br /> persons directly responsible for gathering the information,the information submitted is,to the best of my <br /> knowledge and belief, true,accurate, and complete. I am aware that there are significant penalties for <br /> submitting false information including the possibility of fine and imprisonment for knowing violations. <br /> \ 1A'Vro VV'n <br /> Yurong Han, P.E. <br /> Civil Engineer No. C76756(exp. 1 213 112 0 1 4) <br /> AECOM <br /> C 76756 <br /> Date: 911012014 <br /> Certification Valid Through: 9/10/2019 <br /> 1 <br />
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