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SA N JOAQUIN COUNTY UNIF* PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />; 0 0 612M, UMA <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on: 3-1c6-0 <br />As Identified in the Inspection Report dated: <br />Conducted by: — OA') [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 imprisonment for <br />knowing violations. <br />EPA ID. Number <br />Facility Address <br />I OVIDS OJV <br />Name (Print or Type) <br />--hature <br />_F <br />EHDCERT (rev 1/07/02) <br />/" D <br />Title <br />L _0a <br />Date Signed <br />