Laserfiche WebLink
SAN JOAQUIN COUNTY UNIF"_.' PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DRQ ..RTMENT / <br /> 304 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited at: 1 a <br /> As Identified in the Inspection <br /> pp pReport dated on: ( Q l v <br /> Conducted by: /V A a UCQ Z.Qi [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation <br /> cited above. <br /> 2. I 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 inquiry of <br /> the individuals who prepared or obtained it, I believe that the information <br /> is true, 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 <br /> information, including the possibility of fine and imprisonment for knowing <br /> violations. <br /> 32oi w. Be" hol IF Dr, -P (( 9 CA oC? 2740 1 <br /> FacilityAddress 94t�okfvi,, ell EPA ID. Number <br /> PAFtL D i'r14d e Zleir7Q ftns 0 4 )iC>s <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHDCERT(rev 1/07/02) <br />