Laserfiche WebLink
SAN JOAQUIN COUNTY UNIFIL" PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON,CA 95202 <br />hd1'J fJt'tli <br />"Ai.HEALI Ii <br />03 OCT 10 PM 1: 03 <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on: <br />As Identified in the Inspection Report dated: <br />Conducted by: <br />I certify under penalty of law that: <br />Inspector(s)) <br />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 />So (n rJ 120fr� i �Ti � G9 . <br />Sl1 N. <br />At' rpof- VAA C��tL 8Dt7o Z-77� <br />Facility Address EPA ID. Number <br />,DC -AIA �DSSi <br />Name (Print or Type) <br />Signature <br />EHDCERT (rev 1107/02) <br />Title <br />10-9-03 <br />Date Signed <br />