My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO JAN 2016 - MAY 2016
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
V
>
VICTOR
>
930
>
2300 - Underground Storage Tank Program
>
PR0502817
>
COMPLIANCE INFO JAN 2016 - MAY 2016
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/9/2019 4:50:53 PM
Creation date
11/7/2018 12:00:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
JAN 2016 - MAY 2016
RECORD_ID
PR0502817
PE
2361
FACILITY_ID
FA0005584
FACILITY_NAME
VALLEY PACIFIC LODI PLANT & CARDLOCK
STREET_NUMBER
930
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04905023
CURRENT_STATUS
01
SITE_LOCATION
930 E VICTOR RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VICTOR\930\PR0502817\COMPLIANCE INFO\COMPLIANCE INFO JAN 2016 - MAY 2016.PDF
QuestysFileName
COMPLIANCE INFO JAN 2016 - MAY 2016
QuestysRecordDate
9/13/2016 6:48:08 PM
QuestysRecordID
3085841
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
68
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sigoy.orq/ehd <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations noted in the"Notice to Comply" in the attached Inspection Report must be corrected within 30 days of <br /> receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD) address <br /> the top of this form within 30 days of receipt of the Inspection Report. HSC 25404.1.2(c)(1) <br /> All corrections to other violations noted in the attached Inspection Report(IR) or Continuation Form, or disputes to any <br /> violations, are to be submitted using this certification and returned to EHDwithin 30 days unless otherwise specified in the <br /> Inspection Report. HSC 25185(c)(3) <br /> Note: All EHD staff time associated with failing to comply by the above noted dates will be <br /> billed at the current hourly rate. <br /> For this certification to be complete, the operator of the site must include: <br /> A statement documenting what corrective actions were taken or will be taken for each violation <br /> Copies of sample results/manifests/training recordsrother appropriate paperwork, and/or photos verifying correction. <br /> Inspection Date: ch z3, Z01L' Inspected By: ✓ELOSG <br /> Facility Address: X30 E VICTOR RD. LODi EPA ID: <br /> 71have <br /> y of law that: <br /> ted the violations specified in the Inspection Report from the above-mentioned inspection date. <br /> nally examined the following documentation submittedas proof of compliance FOR EACH VIOLATIO <br /> information to be true, accurate,and complete: <br /> Photos X Paperwork Statement <br /> 3. 1 am authorized to submit this certification on behalf of the Respondent. <br /> 4. 1 am aware that there are significant penalties for submitting false information, including the possibility of a fine ancV <br /> imprisonment for known violations. (HSC 25191) <br /> Name: �)KiJe- C(r �a off Title:C-0. 4 lock/- V,-(G rti4� e� <br /> SignatureDate: Y/7 <br /> Y.:�.��es. <br /> APR 0 7 2016 <br /> *'Ilaul�r�` <br />
The URL can be used to link to this page
Your browser does not support the video tag.