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07/8'7/2003 14:48 26946. 433 FIFTH FLOOR PAGE 02 <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 804 E.WEBER AVENUE <br /> STOCKTON,CA 95202 <br /> CERTIFICATION OF RETURN TO COM LIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the violation cited on . tyZS 63 <br /> As Identified in the Inspection Report dated 231 G3 <br /> Conducted by : q�-� V 01'j F`L-C [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. l am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> dr CPc'-OWC) 159 6 <br /> Facility Address EPA ID. Number <br /> jos �v gWrP; r. <br /> Name (Print or Type) Title <br /> i ature Date Signed <br /> eMDCERT(rev 1107102) <br /> Z00 'd 980L62Z60Z: 131 --------A09-ddK 10: 11 (NOW) 20 ifiI- '7M <br />