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SAN JOAQUIN COUNTY UNIFI&ROGRAM <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />AGENCY • M Ari( <br />FRvInUF�tStN iAi. HEAL Ii <br />03 OCT 10 PM 1: 03 <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on: 25 63 <br />As Identified in the Inspection Report dated: <br />Conducted by: ,\� I/Uly�''� [EHD Inspector(s)] <br />I certify under penalty of law that: <br />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 />Pe u I -et-i rA�. <br />132` 2- esUri - bo I? <br />Facility Address EPA ID. Number <br />DE -1 C 1/)ftp/GT�(lF <br />NameyPrint or Type) <br />Signature <br />EHDCERT (rev 1107/02) <br />Title <br />Date Sig ed <br />