Laserfiche WebLink
,AN.JOACIUIN COUNTY UNIFIEDOOGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DIVISIM ��� I� <br /> 104 E.WEBER AVENUE wl Von, <br /> C� <br /> 3TOCKTON, CA 95202 /V <br /> 4 � �� S►�1C3 3 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> 0 <br /> For Hazardous Waste Generators <br /> c <br /> In the matter of the Violation cited on <br /> V/4 0 <br /> -a <br /> As Identified in the Inspection Report dated "17p ^� <br /> Conducted by: (EHD Inspector(s)] = <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. 1 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 attached documentation 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. I am aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> L14 � /SST �� 'fX <br /> Name (Print or Type) Titl <br /> Sign Date igne <br /> /GSo 44 /�� a e4 Z-920 79� 7y/ <br /> Company Name EPA ID.Number <br /> DTSC-RETCOMP.CRT(8/99) <br />