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;AN JOAQUIN COUNTY UNIFi�J PROGRAM AGENCY 1 <br /> _NVIRONMENTAL HEALTH DEPARTMENT <br /> 04 E. WEBER AVENUE <br /> S TOCKTON, CA 95202 -Z log iii -t,i wi. HEA1.111 <br /> �h spy Linn t'k'ce <br /> 030CT 30 PM iG I: 35 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: <br /> As Identified in the Inspection Report dated: <br /> Conducted by: R" ViO �(u� D&417 � CRt(A� [EHD Inspector(s)] <br /> V <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 /> 910-op T-'% 4VS f o'q <br /> Facility Address EPA ID. Number <br /> -POc1,e-)LA5 ( C OpC�V1���2i`� VL1�yv <br /> Name (Print or Type) itle <br /> a �3 <br /> �Snatur Date Si ned <br /> EHDCERT(rev 1/07/02) <br />