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Cal-EPA DEPARTMENT OF TOXIC SUB'-4NCES CONTROL Edmund G. Brown, Jr., Governor <br /> V �J <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN ST. Z` <br /> STOCKTON, CA 95202-3029 <br /> TIERED PERMITTING <br /> CERTIFICATION OF RETURN TO COMPLIANCE MAY 7101, <br /> For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiets:.,,' <br /> u; <br /> In the matter of the Violation cited on: 6—/r <br /> Located at: /4/,2,-Z:j7 pi,I Drlvp, (facility address) <br /> As Identified in the Inspection Report dated <br /> Conducted by: !!=GA .. C-1„.-4 (agency(s)) <br /> I certify under penalty of law that: N4 <br /> 1. Respondent has corrected the violations specified in the notice of violation cited <br /> above. <br /> 2. 1 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 /> �j Jl.%. ?Yal,me�1 'V t- M&CAA68y <br /> Name(Print or Type) Title rT <br /> Signature Date Signed <br /> G <br /> �Y,r% IDeti W ► ae' LftbOT-7N ,126 <br /> Company Name EPA ID.Number <br /> Revised 0!/24/2011 <br />