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WILLOW GLEN
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13751
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2900 - Site Mitigation Program
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PR0009025
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Last modified
5/19/2021 3:14:56 PM
Creation date
5/19/2021 12:31:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0009025
PE
2960
FACILITY_ID
FA0004055
FACILITY_NAME
LATHROP GAS DEHYDRATOR
STREET_NUMBER
13751
Direction
S
STREET_NAME
WILLOW GLEN
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
19105010
CURRENT_STATUS
01
SITE_LOCATION
13751 S WILLOW GLEN RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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-2- <br /> T7. 7 in requAsting a variance (specify individual_ operational system(s) or <br /> entire facility) Lased upon the following secti.on(s) of Tttle 22, <br /> � Californin Adminis+rative Code: <br /> Section .55111C (a) 11) The hazardous waste at crl facility is <br /> in3i3ni*ic1nt as A potar.tial hazard to humans, dcmesttc livestock or <br /> w11. 4 ifs !�ecnuse of Its small quantity; low concentrAtion and/or physical <br /> or c,",amtcal char2cter{3tic3; <br /> and/or <br /> Section 662710 (a,' ''_'he hazardous waste at my facility is handled, <br /> processed or disposed of pursuant to regulations of another governmental <br /> agency. <br /> My fact: :t:> is ragulated by the following agency: San Joaquin County <br /> Local Health District is the lead agency for the current investigation. <br /> A copy of the ap_'_'cable permit is attached. <br /> TV. I art attaching a." applicable information and drawings as required in <br /> auoport of this variance request, ;'or any facilities involving <br /> underground tanks. T have attached information describing the leek <br /> detection program. <br /> V. understand that any variance Pram the llazardOUs Waste Facility Permit <br /> requirements of DH?, if granted, does not exempt my firm from any other <br /> applicable laws and regulations governing the management of hazardous <br /> wastes. <br /> "I certify under penalty of lass that I have personally examined rind <br /> am familiar with the information submitted in this exemption <br /> application and that, based on ingtjiry o-' those individuals <br /> immediately responsible *or obtaining t". information T believe that <br /> the informal'tcn is true, accurate, and complete. T am aware that <br /> there are sig.ntf—' cant penalties for 311hmitting false information, <br /> incl+ na <br /> 'he <br /> /p sthility of fine and imprisonm^nt." <br /> P i <br /> Pacific Gas and Electric <br /> (Cdr ficstiam Signatures (Company or Applicant) <br /> Region General Service Manager 1401 Fulton Street <br /> (Titre) Nailing Address <br /> (209) 443-5568 Fresno, CA 93760 <br /> (Telephone) (City, State. ZIP <br /> April 1, 1988 CAC000075133 <br /> (Oate) (TSD "lumber if Applicable) <br /> (EPA Number ) <br />
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