Laserfiche WebLink
CAN JOAQUIN COUNTY UNIF• PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DENARTMENT c <br /> NOR vr�ME��i 'i HE�;I lf, <br /> 304 E. WEBER AVENUE NA <br /> IAl. <br /> STOCKTON, CA 95202 <br /> 03 JUN 20 AM 11: 23 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: (7//3 163 <br /> As Identified in the Inspection Report dated: <br /> Conducted by: L-e, [EHD Inspector(s)] <br /> certify under penalty of law that: <br /> 1 . Respondent has corrected the violations specified in the notice of <br /> violation cited above. <br /> 2. 1 have personally examined any documentation attached to the <br /> certification to establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and <br /> inquiry of the individuals who prepared or obtained it, I believe that <br /> the information is true, accurate, and complete. <br /> 4. 1 am authorized to file this certification on behalf of the Respondent. <br /> 5. 1 am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> 1140 gesSeme2 AV<- � I C 0 <br /> Facility Address EPA ID. Number <br /> Name (Print r Type) Ti le <br /> Signature Date Signed <br /> EHDCERT(rev 1/07/02) <br />