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SAN JOAQUIN COUNTY UNIFIA PROGRAM AGENCY • ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <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: <br /> As Identified in the Inspection Report dated: y FI <br /> Conducted by: Al I '` [EHD Inspector(s)) <br /> I certify under penalty of law 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 that the violati ve been corrected. <br /> 3. Based on my examination of the tached documentation nd <br /> inquiry of the individuals who pr red or obtained it eve that <br /> the information is true, accurate, and let <br /> 4. 1 am authorized to file this certification on behalf of the Respondent. <br /> 5. 1 am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> s, �Y, cobeJQ 1. <br /> 1-72Ou AeAtq Pqk� ! Av r C A't- 6Oba 3221 <br /> Facility Address �- —T EPA ID. Number <br /> Name (Print or Type) Title <br /> Signature Date Sig ed <br /> EHDCERT(rev 1/07102) <br />