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COMPLIANCE INFO PRE 2019
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PR0517958
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COMPLIANCE INFO PRE 2019
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Last modified
5/8/2019 9:36:07 AM
Creation date
5/8/2019 9:22:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0517958
PE
2220
FACILITY_ID
FA0007464
FACILITY_NAME
MAIN STREET ARCO AM PM*
STREET_NUMBER
1100
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95337
APN
22119062
CURRENT_STATUS
01
SITE_LOCATION
1100 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br />LNVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on: —q- vi '0 2 - <br />As Identified in the Inspection Report dated: <br />Conducted by: Di Ra- 04t:"' [EHD Inspector(s)] <br />certify under penalty of Jaw 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 />11DD �- Mr yi L 6 L nnoI`yoa II <br />Facility Address EPA ID. Number <br />Name (Print or Type) Title <br />Signature -Z Date Signed <br />EHOCERT (rev 1107102) <br />
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