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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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PR0521562
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COMPLIANCE INFO_PRE 2019
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Last modified
11/19/2024 10:19:47 AM
Creation date
9/21/2020 3:05:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0521562
PE
2220
FACILITY_ID
FA0006388
FACILITY_NAME
KWIK SERVE
STREET_NUMBER
950
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23406002
CURRENT_STATUS
01
SITE_LOCATION
950 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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AN JOAQUIN COUNTY UNIFIS PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTk DERTMENT <br /> 304 E. WEBER AVENUE <br /> �i'OCKTON, CA 95202 <br /> ERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited at: <br /> As Identified in the Inspection Report dated on: <br /> 4"4-- <br /> Conducted by: Steven C. Shih [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation <br /> cited above, <br /> Z. I havE personally examined any documentation attached to the <br /> certification to establish that the violations have hPPn corrected. <br /> 3. Eased on my examination of the attached documentation and inquiry of <br /> the individuals who prepared or obtained it, I believe that the information <br /> is true, accurate, and complete. <br /> 4. I am authorized to file this certification on behalf of the Respondent. <br /> 5. I am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for knowing <br /> violations. <br /> Facility Address EPA ID. Number <br /> Name (Print cr Type) Title <br /> fin - c -o u .. <br /> Sig at rem Date Signed <br /> EHDCERT(rev 1/07/02) <br /> CO 39VH 3M1ISAIMA Z90ZZE888Z LT :TZ b90Z/TT/eT <br />
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