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COMPLIANCE INFO 2010 - 2014
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231435
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COMPLIANCE INFO 2010 - 2014
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Entry Properties
Last modified
8/5/2019 3:37:10 PM
Creation date
8/5/2019 11:56:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2014
RECORD_ID
PR0231435
PE
2361
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
01
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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SAN JtlAQL'IN C414INTY <br />:NVIRiiL]nlrwtrwTAL. I1FA1:1-H DE:I'ARTMEN <br />f. M Eau Main Strcct, Stodrton, CA 9.5202-3029 <br />TdOw ria: (:0l 46�L-UN For: (201 j 4(x-:5+33 We&Di <br />RETURN TO COMPLIANCE CERTIFICATION <br />Ane>w T OR violationq opted in the `Notice to f'Lwnply" in the a=chcd inspection Report rrru.--t be <br />BZW wji, ZQ.&ys of recut of this inspection- This certifikation foitu must lh; subniiMd to the <br />h n -vin iuntf- iji lkohh l.XWtml~nL (E11D) ac' dMS ill Lhc log of this form tiw•iLhin 35 days of rmeipl. taf dke <br />1>aSpe+ajijn Report. <br />All =Tertians to other vinlati-nne, noted in the amachod Ingx ctian RepoTT (I R) air Conrinaation FCMn, or <br />digputcs to any vinlatiotis, are wbe sWl niittc:du%ing this cci-titio;aiiral, w)d rcmnicd w FM D within 30 ria --r, <br />ijn1e%,% other-u'istg Vftifuxl lit the kspoo ion RGExirt. <br />Note: All EIM staff time assecititcd with iauillinl; to comply b.v the above.. n+ottA dale will be billed ait <br />the current hourly rxtc ($122), <br />For r certi icatiOn to be. C0nV1C tC llc gxratuT of the site.. must imlude: <br />A $tatell '•ilt do moenting tiw•hiil c un ti%'e acLia,nx, wc= lalcm or will be. tt k -en tlw each Violation <br />+r l:.'op�ics of s�utTRlc resnl�.�nTarl:i�i�t.�, tt�irl irt� ra�'t�rx�.�.rnCh�r �rpp�v.'rprinl� g�rprvr�'c,r�i, <I�ul�+xr piiitotus <br />vcrifyinR catrections <br />l_ rotor's ixrtification <br />IT14I5eCilon 1 i[r,, oCtg1. i ti , - i,1 [], 2ojo Inspected By: ThUy Trari <br />Fa ihty Addrcss: <br />1399 N. Main Street_ <br />I certify ander lKn lty of law tltm: <br />EPA I[)#: C.=cD-961465.11s£i <br />1 l bAvc curre,too the. %-iolstiony spociticd in rbe Inspe tikin R,cpoit frnni the ti'em tli�mRxi <br />Lmpecliun cite. <br />2. 1 ha%,c prrnonallyexam iiieLi clic; ft4llk'wii�g dk3kuorue..utatitin submiiwd as pmuf of c4nWhfmce FOR <br />EACH VIOLATION itnd I b-d1je e Ow informadea Lo be trine, uc:csuirutc, and camp. l : <br />Photm ---_ PaT)c-.T--N-{,rk h tacicmcnE <br />1 1 am authtoriycd to suhnTit dl i; certification no 1 ich -a f i nt 1li-I I e-. pojAIMl. <br />4, l 11.m aware that there .are significant penalties for-uNikining F,,ISe itifurtt-Ia.tiUtr, inclujAia-, the <br />passibility of a tine and -'or iniKkLmilient tier knkpwn viulatiuus, (11S :' 25191 <br />SigriaturG: <br />
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