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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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KETTLEMAN
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2200 - Hazardous Waste Program
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PR0518454
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COMPLIANCE INFO PRE 2019
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Last modified
4/5/2019 10:34:47 AM
Creation date
4/5/2019 10:27:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0518454
PE
2220
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
01
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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05/24/2002 07: 31 111111.L2111111111111 BA PAGE 09 <br /> SAN JOAQUIN COUNTY UNIN PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> 41f��'Sn <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: 23L02— <br /> Conducted <br /> by: " ' `1 Vol, rjoe— [EHD Inspector(s)] <br /> I 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 /> 2 qq S W, Ka4lenn *jLk), C O L <br /> Facility Address EPA ID. Number <br /> SarN � Lr�J CF+ ISo FQC I I I �I2� <br /> Name ( int or Type) Title <br /> Signaturel Date Signed <br /> EHDCERT(rev 1107102) <br /> MRY 24 2002 07:50 11111112111111111111 PAGE.09 <br />
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