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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2231-2238 – Tiered Permitting Program
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PR0507092
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COMPLIANCE INFO
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Entry Properties
Last modified
9/30/2022 10:44:25 AM
Creation date
9/30/2022 10:27:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0507092
PE
2231
FACILITY_ID
FA0007093
FACILITY_NAME
QUALEX
STREET_NUMBER
555
STREET_NAME
INDUSTRIAL PARK
STREET_TYPE
DR
City
MANTECA
Zip
95336
APN
22119036
CURRENT_STATUS
02
SITE_LOCATION
555 INDUSTRIAL PARK DR
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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STATE OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY PETE WILSON, Governor <br /> DEPARTMENT OF TOXIC SUBSTANCES CONTROL <br /> REGION 1-10151 Croydon Way, Suite 3 <br /> Sacramento, CA 95827 <br /> TIF.RRD PERMIT F]IN <br /> CERIMCATION OF RRUJRN TO COMPLIANCF. <br /> For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> In the matter of the Violation cited on : /a LY S <br /> As Identified in the Inspection Report dated /o <br /> Conducted by : � , o f ,� 5 X65 i 7twLC�� c-c�z— (agency(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. I 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 /> C �Gt 1 1.11-/ S iwGrM <br /> Nam rint or Type) Title <br /> Signature Date Signed <br /> &OAL, X INL CA-L ('0000 -4 CI y <br /> Company Name EPA ID. Number <br /> DTSC-REMOMP.CRT(8/94) <br />
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