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RUG-27-2003 09:08 SOUTHLAND CORP NW DIV. 503 977 7711 P.02i02 <br /> SAN JOAQUIN COUNTY MFIED PRQG14AM AGENCY 41 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 F.WEBER AVENUE <br /> STQCKY'ON,CA SS?02 <br /> CE_ RziFlgATiaN OF 741 to <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on_.__.7�a�A3 <br /> As Identified in the Inspection Report dated, <br /> Conducted by' Q 1 ...._(EHA Inspector(s)) <br /> I certify under penalty of law that: <br /> 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 thatthe violations have been corrected. <br /> 1. Based on my examination of thea c(Zodc en tigr' rand <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 /> S. I am aware that there are significant penalties for submitting false <br /> Information, including the possibility of fine and imprisonment for <br /> knowing violaticns. <br /> Facility Address W EPA ID. Number 1 <br /> Rachel Rodriguez _ r k4 <br /> Name (Print r Type Title <br /> rSignature Date Signed <br /> Ghtt7CERTjPcv 1107!02) <br /> TOTAL P.02 <br />