2015-06-25_ENFORCEMENT - M1998101

• Permit No: M1998101
• IBM Index Class Name: ENFORCEMENT
• Doc Date: 6/25/2015
• Doc Name: Consent Agenda Summary Form
• From: DRMS
• To: Tony J. Beltramo and Sons, Inc.
• Email Name: TOD
• Email Name: WHE
• Media Type: D
• Archive: No

M-1998-101
Tony J. Beltramo and Sons, Inc.
June 25, 2015
Page 3 of 3
Operator(s) Signature:
As an authorized representative of the Operator, I hereby attest that the Operator concedes to the above
described violation and agrees to comply with the cease-and-desist order, corrective action, and civil
penalty proposed in this STAFF SUMMARY FORM FOR CONSENT AGENDA ITEMS.
Signed and dated this day of 92015.
Tony J. Beltramo and Sons, Inc.
(Operator)
Signature:
Title:
State of )
County of
The foregoing instrument was acknowledged before me this _
by as of
Notary Public
day of , 2015,
My Commission Expires:
SIGNATURES MUST BE IN BLUE INK