Laserfiche WebLink
05/30/2007 17:44 NEW WEST PETROLEUM 4 12094683433 NO.362 P002 <br /> I <br /> SAN 3OAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main Street <br /> mci<Tom CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Underground Storage Tank <br /> f <br /> In the matter of the Violation cited on: <br /> As Identified in the Inspection Report dated 01 <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 to Comply <br /> and/or Notice of Violation 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 dogumentation and inquiry <br /> of the individuals who prepared or obtained it, I believe that the <br /> information 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 /> �� L SISI 4- o 31 N Thr �� .. <br /> Fa E ity me Facility Address <br /> I <br /> Mia �- ta <br /> Tt.Q� cr- <br /> Name (Print or Type) Title <br /> Pign!N�—��� <br /> Date Signed <br /> EHDCERT(rev 04/23/07) <br />