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COMPLIANCE INFO_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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PR0507042
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COMPLIANCE INFO_2019
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Last modified
6/15/2020 2:27:24 PM
Creation date
6/15/2020 2:19:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0507042
PE
2229
FACILITY_ID
FA0005604
FACILITY_NAME
TOYOTA TOWN
STREET_NUMBER
2150
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09406058
CURRENT_STATUS
01
SITE_LOCATION
2150 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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I <br /> I <br /> Tank and Secondary Containment <br /> Assessment Document <br /> his document was prepared for : <br /> 1oyota Town <br /> 2150 E Hammer Lane <br /> Stockton , CA 95210 <br /> ank/system identification : <br /> Used Motor Oil Storage and Conveyance <br /> Used Coolant Storage and Conveyance <br /> Date of inspection ( s )/assessment : <br /> March 8 , 2019 <br /> his report consists of U t pages , <br /> I certify under penalty of law that this document and all attachments were prepared under my <br /> irection or supervision in accordance with a system designed to assure that qualified <br /> personnel properly gather and evaluate the information submitted . Based on my inquiry of the <br /> person or persons who manage the system , or those persons directly responsible for gathering <br /> he information , the information submitted is , to be the best of my knowledge and belief, true , <br /> ccurate , and complete . I am aware that there are significant penalties for submitting false <br /> mformation , including the possibil_iof fine and imprisonment for knowing violations . <br /> Engineer's name : Jeffrey K . Belwood , Robert F . Martin <br /> License Number : M-29705 , C-53437 <br /> License Type : Mechanical , Civil <br /> Address of engineer : PO Box 9384 , Stockton , CA 95208 , 623 Baker Dr. Ripon CA 95366 <br /> I <br /> r. <br /> pFESSrp <br /> P <br /> R rn <br /> K . B £ kk Fy o. C5343 <br /> y �44k ��y Exp. <br /> i � < 5 I <br /> 0970 � CIV <br /> . . ���Q • " <br /> Exp . 6 2a fr ! OF CFHI \FO <br /> 30 <br /> S <br /> OF c �01 <br /> k � i <br /> i <br /> I i <br /> I <br /> 1 <br /> Date stamped /signed : March 15 , 2019 <br />
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