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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0518706
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COMPLIANCE INFO_PRE 2019
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Last modified
4/15/2020 11:51:40 AM
Creation date
4/15/2020 11:26:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0518706
PE
2220
FACILITY_ID
FA0000591
FACILITY_NAME
QUIK STOP MARKET #2152
STREET_NUMBER
1721
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
062-060-48
CURRENT_STATUS
01
SITE_LOCATION
1721 S CHEROKEE LN # 1
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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'08/14/2002 16:25 209468'433 FIFTH FLOOR PAGE 08 <br /> ZAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL 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: <br /> As Identified in the Inspection Report dated: <br /> Conducted by: �� VOr1 _C f'--� [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 /> knowing violations. <br /> �I 7Z ) S. C�,Q�Vzx, L#\j, C-4L CY)L, Og�)` 71-1 C"' <br /> Facility Address EPA ID.' Number <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHDCERT(rev 1)07102) <br />
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