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�,SAN�JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH D ION . <br /> 304 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: — 0— 00 <br /> As Identified in the Inspection Report dated / e)—QC7 <br /> Conducted by : 110 I�(�-- ,9 0_113111)Inspector(s)j <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 /> Name(Print or Type) Title <br /> 0 ! <br /> Signature Date Signed <br /> a <br /> Company Name EPA ID.Number <br /> DISC-RETC0I,IP.CRT(8/94) <br />