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bA"JFN. 14, 2005( 3: 15PMrUN'IT COLLISION DIVISIONeNCY . NO. 864 - P. 2 <br /> EN%rircunmcrr,rAL ntALTH RTMENT <br /> 304 E.WEBER AVENUE <br /> STOCKTON,CA 95202 <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 : /�._ � � � [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation <br /> cited above, <br /> 2. I 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 inquiry of <br /> the individuals who prepared or obtained it, I believe that the information <br /> is true, accurate, and complete. <br /> a. T 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 knowing <br /> violations. <br /> (Y0*kC' (�v1i 1ilt,On <br /> farrier S+ <br /> r� Ls� 0,A10 oon(a06q3 <br /> Facility Address EPA ID. Number <br /> Names 1_ t or Typ ) Title <br /> 5ignat ate Signed <br /> EHDCERT(rev 3107102) <br />