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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0514166
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COMPLIANCE INFO
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Entry Properties
Last modified
6/30/2020 10:41:29 AM
Creation date
4/16/2019 10:26:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0514166
PE
2220
FACILITY_ID
FA0010096
FACILITY_NAME
BROOKSIDE GOLF & COUNTRY CLUB
STREET_NUMBER
3131
STREET_NAME
BROOKSIDE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
11811036
CURRENT_STATUS
01
SITE_LOCATION
3131 BROOKSIDE RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0514166_3131 BROOKSIDE_.tif
Tags
EHD - Public
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t <br /> - SAN JOAQUIN COUNTY UNIFIL"��"�'ROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> STOCKTON,CA 95202 <br /> 03 AUG 19 AN 11 54 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: 7 603 <br /> As Identified in the Inspection Report dated: 9/7 1 C? <br /> Conducted by: [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 /> IC��ov�iny viclations. <br /> '3 <br /> 130 <br /> Facility Address EPA ID. Number <br /> L00 S 1 41 <br /> Name (Print or Type) Title <br /> gnature <br /> Dat Se igned <br /> EHDCERT(rev 1107102) <br />
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