Laserfiche WebLink
SAN JOAQUIN COUNTY UNIFIL PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <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 on: �-C, "G ;� <br />As Identified in the Inspection Report dated: <br />Conducted by: 11 nc,- _f1Y �c� f [EHD Inspector(s)] <br />I certify under penalty of Jaw 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 />Facility Address EPA ID: Number <br />Name (Print or Type) Title <br />- I � ,A <br />Signature <br />EHDCERT (rev 1107102) <br />J-5- 0-3 <br />Date Signed <br />