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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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E
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88 (STATE ROUTE 88)
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14971
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2200 - Hazardous Waste Program
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PR0518530
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COMPLIANCE INFO_PRE 2019
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Last modified
11/20/2024 9:21:33 AM
Creation date
5/31/2019 4:50:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0518530
PE
2220
FACILITY_ID
FA0000540
FACILITY_NAME
COUNTRYSIDE LIQUORS & GAS
STREET_NUMBER
14971
Direction
N
STREET_NAME
STATE ROUTE 88
City
LODI
Zip
95240
APN
06316025
CURRENT_STATUS
01
SITE_LOCATION
14971 N HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ENVIRONMENTAL HEALTH DEPARTMENT <br /> Pp U,IN SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> is ""6 'Z Donna K.Heran,R.E.H.S. Carl Bergman,R.E.H.S. <br /> Director <br /> 304 East Weber Avenue, Third Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> =' `• Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> • .q 2 Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> c <br /> Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R. H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility NameCNDU4Cf l <br /> LI-11 <br /> w, <br /> Address "l-11 I N w� D <br /> City L 0 b I State CA Zip Code q52 t!D <br /> EPA I.D.Number N14. IndustryType AS <br /> Facility Contact�� Title' &WII45'- Phone L6 �- S3�0 <br /> Consent Given By 5�/"tG Title <br /> Inspection Date(s) 7 D Z Inspection Type (circle): Routine Complaint Follow-Up <br /> REPRESENTATIVES PRESENT <br /> Name Title Organization <br /> " _ µS Sic �/�0 <br /> RA-! Vin rf <br /> 6Ar Bv� i tir <br /> <pu��Pysltle. ,tQA I 1114erA-, <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information obtained during the inspection,you may be informed of additional violations. <br /> If any violations are noted, the facility is required to submit a signed Certification of Return to Compliance within 60 <br /> days,unless otherwise specified (A certification form is provided). <br /> Failure to correct these violations within the scheduled period provided may result in San Joaquin County Environmental <br /> Health Department(EHD) citing you for continuing/additional violations. Issuance of this Inspection Report does not preclude <br /> EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br /> Environmental Health Speciallst <br /> Receive y Date <br /> Page 1 of <br /> 315/02 <br />
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