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. SAN JOA'QUIN COUNTY UNIFOO PROGRAM AGENCY <br /> ENT �I`����� <br /> ` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE ��"'� `� DEO Q ] Z003 <br /> sTOCKTON, CA 95202' <br /> Z <br /> U-1 iEALI H <br /> / 6145 <br /> NICES <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: �! <br /> D3 <br /> e Inspection Report dated: If 13 D 3 <br /> As identified �n th p <br /> �� v r(b-v [EHD Inspector(s)] <br /> Conducted by: <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. l have personally examined any ° �m ons have been corrected. <br /> ation attached to the <br /> certification to establish that the <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. I am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> Facility Address EPA ID. Number <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHO CERT(rev 7!07102) <br />