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3AN JOAQUIN COUNTY UNIFIE 'ROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPZCRTMENT REC�I `,/i'• � <br /> 304 E.WEBER AVENUE ll V <br /> 3TOCKTON,CA 95202 <br /> NOV 14 2003 <br /> ENVIRONMENT HEALTH <br /> CERTIFICATION OF RETURN TO COMPLIANCEPERMIT/SERVICES <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: lli (ln -A�u1 -k P [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 fife 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 /> t-e CL <br /> 3q u <br /> Facility Address EPA ID.' Number <br /> L -y\\( v,\- <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHOCERT(rev=7102) - • • <br />