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ij,iM4HMENTAL HEALTH <br /> r,FTMTT SERVICE <br /> PH 2* 25 <br /> ATTACHMENT I <br /> CERTIFICATION STATEMENT <br /> I certify under penalty of law that this document and all attachments were prepared <br /> under my direction or supervision in accordancq with a system designed to assure <br /> that qualified personnel properly gather and evaluate the information submitted. <br /> Based on my inquiry of the person or persons directly responsible for gathering <br /> the information, the information submitted is, to the best of my knowledge and <br /> belief, true, accurate and complete. I am aware thct thera are significant penalties <br /> for submitting false information, including the possibility of fine and imprisonment <br /> for knowing violations. <br /> Violation #1 : Label has been placed on 55 Gal . drum stating <br /> each requirement (a) thru (e) . <br /> Violation #2 Lid has been placed on drum with ring to keep <br /> container sealed. A meeting was held for all <br /> employees involved with this job and they were <br /> informed of the required procedures. <br /> el - <br /> Manager <br /> - Hazardous waste <br /> LODI METAL TECH. , INC. <br /> 3 <br />