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tiAN JOAQUIN COUNTY UNIFIE- r PROGRAM AGENCY 1.0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE r� <br /> STOCKTON,CA 93202 0 <br /> CP <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> z <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: <br /> As Identified in the Inspection Report dated: --71647 <br /> Conducted by: J1 �c&Sdv� [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 /> l/J73Z&84C#Y AV <br /> Facility Address EPA ID. Number <br /> 4FI"a dFiV/ZS (9h< <br /> Name (Print or Type) Title <br /> / 4 a <br /> Sign re Date Signed <br /> EHDCERT(rev 1107102) <br />