Laserfiche WebLink
GAN JOAQUIN COUNTY UNIFI, PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE RECE v ED <br /> For Hazardous Waste Generators JAN 13 2003 <br /> ENVIRONMENT HEALTH <br /> In the matter of the Violation cited on: Z 3 D Z <br /> PERMIT/SERVICES <br /> As Identified in the Inspection Report dated: Z 3 0 Z <br /> Conducted by: y�� �' �`'`�- [EHD Inspector(s)j <br /> I 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 /> S-Do 41 (f-MAA Chi, L A-LoWO6)tQ 45' <br /> Facility Address EPA ID. Number <br /> C� lei �& , <br /> c. �- <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHDCERT(rev 1107102) <br />