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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0514476
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COMPLIANCE INFO_PRE 2019
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Last modified
9/30/2020 1:16:49 PM
Creation date
9/29/2020 3:59:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514476
PE
2229
FACILITY_ID
FA0010973
FACILITY_NAME
JIFFY LUBE #2322
STREET_NUMBER
500
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06208002
CURRENT_STATUS
01
SITE_LOCATION
500 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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2 L <br /> SAN JOA:UUIN+COUNTY UNIFIE ROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. WEBER AVENUE _ <br /> STOCKTON, CA 95202 Ul�C� VIE <br /> AUG <br /> AUG 1 4 2000 <br /> CERTIFICATION OF RETURN TO COMPLIANCE ENVIRONMENT HEALTH <br /> PERMIT/SERVICES <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: 7— rg—oz <br /> As Identified in the Inspection Report dated 7--i e^ 0 V <br /> Conducted by: \j 1. j o ,_A rC4 Z.�K, [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation cited <br /> above. <br /> 2. 1 have personally examined any documentation attached to the certification to <br /> establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and inquiry of the <br /> individuals who prepared or obtained it, I believe that the information is true, <br /> 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 information, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> Name(Print or Type) Title <br /> D <br /> Vignature Date Signed <br /> GAL 000 Mo'1 � <br /> Company Name EPA ID.Number <br /> DTSC-RETCOMP.CRT(8/99) <br />
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