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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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2200 - Hazardous Waste Program
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PR0505935
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COMPLIANCE INFO_PRE 2019
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Last modified
3/5/2020 12:04:33 PM
Creation date
3/4/2020 11:25:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0505935
PE
2229
FACILITY_ID
FA0005626
FACILITY_NAME
SANBORN CHEVROLET INC
STREET_NUMBER
1210
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95241
APN
04728013
CURRENT_STATUS
01
SITE_LOCATION
1210 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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Cce�/e() �. <br /> SAN'JOAQUIN COUNT L TIED PROGRAM AGENCY to <br /> ENVIRONMENTAL HEA TH DEPARTMENT ✓ Q(b��{D3 <br /> 304 E. WEBER AVENUE >Ce�� <br /> STOCKTON, CA 95202 <br /> 10�1✓0 �b� Z09 C(61� ��20 <br /> CERTIFICATION OF RETURN TO COMPLIANCE yro�jLl31 / <br /> For Hazardous Waste Generators �aK-C <br /> In the matter o the Violation cited on: \ \5 o"3 <br /> As Identified i the Inspection Report dated: <br /> Conducted by 0- cyto , [EHD Inspector(s)] <br /> ;Je.npj S h Cave civ ��uca O u F- <br /> I <br /> I certify under penalty of law that: e r N Cl " ECSt <br /> Upac r g ac)n . w l Case -ku c,w l; <br /> "Rc 'su lt3 4ecified <br /> C-t . <br /> 1 . R spondent has corrected the violations in the no ice of <br /> vi lation cited above. (I� C I . <br /> 2. 1 ave personally examined any documentation attached to the <br /> c rtification to establish that the violations have been corrected. <br /> B sed on my examination of the attached documentation and <br /> y i quiry of the individuals who prepared or obtained it, I believe that <br /> t e information is true, accurate, and complete. <br /> /4. 1 m authorized to file this certification on behalf of the Respondent. <br /> ,b. 1 m aware that there are significant penalties for submitting false <br /> i formation, including the possibility of fine and imprisonment for <br /> k owing violations. <br /> San rn 0 Du ro lit <br /> 0-kefoLt-, FA _ ( 2� <br /> Facility Address EPA ID. Number <br /> Dour ns Dkis Sefv�Of MCA Cr <br /> Name ( rint or Type) Title <br /> Q �j !�' 6. <br /> 3 <br /> Signati. re Date Signed <br /> EHDCERT(rev 1/07/)2) nO L�` Ajo <br /> S11tI LiXA -74 <br /> c Fig ova rSr�+zlrjl e_ resU� <br />
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