Laserfiche WebLink
SAN JOAQUIN COUNTY UNIF PROGRAM AGENCY <br /> E,NVIK-ONMENTAL HEALTH DIMRRTMENT • <br /> 304 E. WEBER AVENUE <br /> STOCKTON, CA 95202 REC <br /> E�vLq[D <br /> CERTIFICATION OF RETURN TO COMPLIAN NOV _ 12004 <br /> IRONMENI HEALTH <br /> For Hazardous Waste Generators PERMIT/SERVICES <br /> In the matter of the Violation cited at: <br /> As Identified in the Inspection Report dated on: �� � ( 6 <br /> (;Conducted by: Steven C. Shih \ [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 /> LX'AW616 CHEVRON <br /> 140 LATHROP RD. <br /> LATHR 202CA <br /> 095330f <br /> Facility Address EPA ID. Number <br /> L <br /> Name (Print or Type) Title <br /> cq)"ex /0 - V- 01`' <br /> SignatUf`e Date Signed <br /> EHDCERT(rev 1/07/02) <br />