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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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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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SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HFAt H DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> r. <br /> For Hazardous Waste Generators <br /> In the matter oft ie Violation cited on : L <br /> As Identified in tir e Inspection Report dated <br /> Conducted) by: �� [END Inspector(s)] <br /> i <br /> I certify u der penalty of law that: <br /> 1. Res ondent has corrected the violations specified in the notice of violation <br /> cite above. <br /> 2. I ha e personally examined any documentation attached to the <br /> cert flCdtion to establish that the violations have been corrected. <br /> 3. <br /> .To <br /> 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 t*, accurate, and complete. <br /> 4. I am authorized to file this certification on behalf of the Respondent. <br /> 5. I a aware that there are significant penalties for submitting false <br /> infoimation, including the possibility of fine and imprisonment for knowing <br /> violations. <br /> C) Dp 4 <br /> Facility Address `1J P-Cy C/A gSr3?6 EPA ID. Number <br /> Name (Prink or Type) Title <br /> Signature Date Signed <br /> EHOaRT(rev 1/07/02) <br />
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