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'AN AAQUIN COUNTY UNIFIEISOGRAM AGENCY • <br /> :NVIRONMENTAL HEALTH DIVISI N <br /> 04 E. WEBER AVENUE <br /> >TOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: S LOoo <br /> As Identified in the Inspection Report dated ? W'9 <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 cited <br /> above. <br /> 2. I have personally examined any documentation attached to the certification to <br /> establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and inquiry of the <br /> individuals who prepared or obtained it, I believe that the information is true, <br /> 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 information, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> 'TL_W t .a'1 //A1�iC "o �/ i '0"" -�rsr <br /> Name(Print or Type) Title <br /> �" �i� /f/ vZCGGGICsc*+� Z l� ZaOrJ <br /> gnature Date Si ed <br /> Compady Name EPA ID. Number <br /> DTSC-RETCOMP.CRT(8/99) <br />