Laserfiche WebLink
,. FIFTH FLOOR PAGE a2 <br /> ®5i1512ee0 �J9:G14 2�946�,�433 <br /> AN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> NVIRONMENTAL HEALTH DIVISION <br /> 04 E.WEBER AVENUE <br /> ,TOCKTON, GA 95202 <br /> CER11FICATION Of RETURkTURP-LIANCEIAY 1 fi 2000 <br /> For Hazardous Waste Generators ENVIRONMENTAL HEATH <br /> PERMIT/SERVICES <br /> In the matter of the Violation cited on: <br /> As Identified in the Inspection Report dated <br /> Conducted by: A b )EHD Inspe0t04$)1 <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation cited <br /> above. <br /> 2. I have personally examined any documentation attached to the certification to <br /> establish that the violations have been corrected. <br /> 3. Based on my examination of the attach e_d document tion and inquiry of the <br /> individuals who prepared or obtained It,I believe that the information is true, <br /> accurate,and complete. <br /> 4. I am authorized to file this certification on behalf of the Respondent. <br /> 5, 1 am aware that there are significant penalties for submitting false iwformation, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> II � <br /> e(Print Type) Ti e <br /> C <br /> in tur Da Signed <br /> d Lombe. _ � �. o�o01 D 3Z <br /> Company ame EPA ID_Number <br /> DTSC•RETCOMP,CRT(8/99) <br />