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34N JOAQUIN COUNTY UNIFIE[WOGRAM AGENCY <br />NVIRONMENTAL HEALTH DIVI ON <br />304 E. WEBER AVENUE <br />iTOCKTON, 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 —C�1 �nf <br />Conducted by: <br />I certify under penalty of law that: <br />Inspector(s)] <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. I 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 />na-% � 6-� <br />Name (Print or Type) Title <br />C9 10-- 0/ <br />Signature Date Signed <br />I( 1V�) AW <br />Company Name �, r <br />339 4 ►�w`� <br />DTSC-RETCOMP.CRT (8/99) e[%V-- <br />EPA ID. Number <br />