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SAN JOAQUIN COUNTY UNIFIE PROGRAM AGENCY qfg1j <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators W EC EKED <br /> JAN 16 2004 <br /> In the matter of the Violation cited on: —:)rIENVIRONMENT HEALTH <br /> As Identified in the Inspection Report dated: PERMIT/SERVIC"LS <br /> Conducted by: / L [EHD Inspector(s)] <br /> I certify under penalty of law 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 /> :6U.L, C-e4 r1m R- <br /> Fagpility Address EPA ID. Number <br /> S-"C k Ta i-14c') <br /> /I C-A CIS-'R14' <br /> } cI fW N U VIS IM'1Fl t�P�2 <br /> 7N (Print or e) Title <br /> Signature Date Signed <br /> EHDCERT(rev 1107102) <br />