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Cal -EPA DEPARTMENT OF TOXIC SUBSTANCES CONTROL <br />SAN JOAQUIN COUNTY UNIFIEL_ . ROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />TIERED PERMITTING <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br />In the matter of the Violation cited on: <br />As Identified in the Inspection Report dated <br />Conducted by: (agency(s)) <br />I certify under penalty of law that: <br />GRAY DAVIS, Governor <br />1. Respondent has corrected the violations specified in the notice of violation cited <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 />Name (Print or Type) <br />Signature <br />Company Name <br />DTSC-RETCOMP.CRT (2/99) <br />Title <br />Date Signed <br />EPA ID. Number <br />