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S,ra'►N,JOAQUIN COUNTY UNIF1 n PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEWRTMENT i 7 ` <br />:404 E. WEBER AVENUE 1+� 44"Q«$ <br />&TOCKTON, 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 : UA n a ick -'EL [EHD Inspector(s)] <br />I certify under penalty of law that: <br />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 />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 <br />information, including the possibility of fine and imprisonment for knowing <br />y violations. <br />AT_ r it N) LA V Y a `vi c <br />Facility Address EPA ID. Number <br />7 -)AY �f (�A PA KAA <br />Name (Print or Type) <br />-1 <br />Signa ure <br />EHDCERT (rev 1/07/02) <br />f\J- kA L-- <br />Title <br />Date signed <br />