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• y <br /> SAN ,J.OAQUIN COUNTY UNIFIA- ROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE ;"' ' `','. r!d:lel_)[i <br /> STOCKTON,CA 95202 <br /> 04 -4 PH 1: 42 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: NP-Vj <br /> b <br /> As Identified in the Ins ection Report dated: UA� <br /> Conducted by: j �0 [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. 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 <br /> information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> Facility Address EPA 1D. Number <br /> Name (Print,,or Type) Title <br /> r / <br /> ���/-c/2 <br /> 3 <br /> Signature - Date Signed <br /> EHDCERT(rev 1107102) <br />