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1868 E. Hazelton Ave. <br />Stockton, CA 95205 <br />Phone: (209) 468-3420 <br />FAX <br />TO: <br />OF: <br />FROM: <br />RE: <br />FAX #: O (209) 464-0138 <br />O (209) 468-8392 <br />0 (209) 468-3433 <br />DATE: September 26, 2013 TIME: 2:12:50 PM <br /># of Pages (including this sheet): 1 <br />Harnek Singh FAX: 209-334-1873 <br />Flaa Citv Chevron <br />Aris Cacapit VOICE PHONE: (209) 468-3453 <br />Incomplete Return to Compliance documentation <br />C Urgent O For Review o Please Reply O Please Recycle <br />Comments: Hi Harnek, to complete the return to compliance certification requirements, <br />submit the following: <br />- corrective action statements for each violation, <br />- copies of hazardous waste disposal records from the 2010, 2011, and 2012, <br />- a copy of the destination facility signed off manifest 001154637GBF, <br />- copies of bills of lading for the recycling of used filters from the past three years, <br />- a copy of the disposal record for universal waste lamps <br />Thank you, <br />Anis Cacapit <br />Senior Registered Environmental Health Specialist <br />STATEMENT OF C'OtJFIr1FNTIAI ITY' Thp infnrmatinn in chic face mile is Ipgally nrivdiPpPri and nnnfidpntial infnrmatinn intpndpd only for the imp of the addrpscpP <br />listed on this cover sheet. If the reader of this message is not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, <br />you are hereby notified that any dissemination, distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error, please <br />immediately notify us by telephone at the number listed on this cover sheet and return the original message to us at the above address via United States Postal <br />Service. We will reimburse your costs in notifying us and returning the message to us. Thank You. <br />EHD 48-01-012 FAX COVER SHEET <br />REVISED 6-14-02 <br />