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FROM : FLAME MINI MART • FAX NO. : 209 334 4684 • Nov. 11 2002 10:57AM P3 <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> 5TOCKTON,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: _ S�zl�a S� h _[EHD Inspector(s)] <br /> I certify under penalty of4aw 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 /> /3a> ly �/�Izrns„ � � � _-Lo</,' oDO �t1..2v33 <br /> Facility Address EPA ID. Number <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHDCERT(rev 1107102) <br />