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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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2200 - Hazardous Waste Program
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PR0518492
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COMPLIANCE INFO_PRE 2019
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Last modified
2/13/2019 4:45:15 PM
Creation date
11/20/2018 2:18:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0518492
PE
2220
FACILITY_ID
FA0002512
FACILITY_NAME
GSG GAS & MART
STREET_NUMBER
701
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734311
CURRENT_STATUS
01
SITE_LOCATION
701 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EJimenez
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EHD - Public
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SAN JOAQUIN COUNTY UNIFIE ?ROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E. WEBER AVENUE '. <br /> STOCKTON, CA 95202 <br /> 02 JILL -3 P1 3: 32 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: 6 17 OZ <br /> As Identified in the Inspection Report dated: l7 6Z <br /> Conducted by: �A l V oA [EHD Inspector(s)] <br /> certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of <br /> violation cited above. <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 /> -7o <br /> Facility Address EPA ID. Number <br /> A RIP <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHDCERT(rev 1/07/02) <br />
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