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COMPLIANCE INFO
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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PR0536264
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COMPLIANCE INFO
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Last modified
6/9/2020 3:21:44 PM
Creation date
6/3/2020 9:22:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536264
PE
2228
FACILITY_ID
FA0020842
FACILITY_NAME
Jazz Group Inc.
STREET_NUMBER
2142
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24130058
CURRENT_STATUS
01
SITE_LOCATION
2142 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2228_PR0536264_2142 W YOSEMITE_.tif
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EHD - Public
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*I certify under penalty of law that this document and all attachments were prepared under my fire or <br />supervision In accordance with a system designed to assure that qualified personnel properly gather and evaluate <br />the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons <br />drectly responsible for gathering the information, the Information submitted is, to the best of my knowledge and <br />belief. true, accurate, and complete. I am aware that there are significant penalties for submitting false info on, <br />including the possibility of fine and imprisonment for knowing violations. <br />I further certify that the sampling and analyses performed for and submitted with this report are representative of <br />normal work cycles and expected pollutant discharges and conform to EPA 40 CFR 136 requirements." <br />rr-77117147:11 #- ;# I z — <br />Current operating data <br />Beat estimate based on: "t\k*rk 2vuKo-lillin Trgds <br />( ) Other. <br />2. Completed by (please print): <br />Name Wrint) Tide <br />I <br />Signature <br />r4T-.=M <br />a If <br />1743 "1 11 <br />Date <br />
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