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ho' <br />AN JOAQUIN COUNTY UNIFIEDdkOGRAM AGENd <br />_14VIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202viRosafy� �IEALTH <br />P�RM�-�IS��VIGES <br />CERTIFICATION OF RETURN TO COMPLIANCE. <br />For Hazardous Waste Generators <br />Ll <br />In the matter of the Violation cited on. (oil <br />pAIdentified in the Ins ection Report dated:--�(el- <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 <br />violation cited above. <br />2. 1 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 <br />inquiry of the individuals who prepared or obtained it, I believe that <br />the information is true, accurate, and complete. <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 imprisonmentfor <br />knowing violations. <br />�\e-j 4�� VjKe, ct <br />4Faility Address EPA ID. Number <br />Name (Print or Type) <br />Title <br />Sig Watur Date Signed <br />EHDCERT (rev 1107102) <br />