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SAN ,lDAQUiN COUNTY UNIFIEDOGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> $04 E.WEBER AVENUE <br /> STOCKTON,GA 95202 ' <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> _ :.. For Hazardous,W!aste,Generators. .. <br /> In the matter of the Violation cited on: ,JD-7— 3 <br /> As Identified,in the Inspection Report dated: <br /> Conducted by: I L' P -15 <br /> [EHD Inspector(s)3 <br /> I certify under penalty ofaaw 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 thatthe.violations have been corrected. <br /> 3. Based on my examination of the attached documentation'and <br /> Inquiry of the individuals who prepered 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 Reskpondent. <br /> 5. l am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonmentfor - <br /> knowing violations. <br /> Facility Address EPA ID: Number <br /> r e ar ;Vc— /• Y <br /> Name (Print or Type) Title <br /> Signa r Date igrile <br /> EHOCERT(rev 11147102) <br /> 7 'd 690 'LN diO KOL dlViSd31NI.. Md :� M0 '9� '�]C <br />