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3AN JOAQUIN COUNTY UNIFIESOOGRAM AGENCY <br />NVIRIJNMENTAL HEALTH DIVISION <br />104 E. WEBER AVENUE <br />3TOCKTON, CA 95202 <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />rr <br />For Hazardous Waste Generators w <br />0 <br />-c a:r <br />N 1.3 <br />�m <br />In the matter of the Violation cited on: G— «-y3 'o_ <br />�j-12-tZ3N �m <br />As Identified in the Inspection Report dated <br />W a <br />J r <br />Conducted by: 'Dirw, fl=k [EHDInspector(s)] <br />I certify under penalty of law that: <br />Respondent has corrected the violations specified in the notice of violation cited <br />bill <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. 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 information, <br />including the possibility of fine and imprisonment for knowing violations. <br />hMq <br />Name (Print or Type) <br />Signature <br />OU 4 -LL -2 <br />Title <br />Date Signed <br />Company Na e " EPA ID. Number <br />Zai 5 —rr. <br />DTSC-RETCOMP.CRT (8/99) <br />