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I12/24/2002 12:33 209577 0 BOYETT PETROLEUM PAGE 07 <br /> SAN JOAQUIN COUNTY UNI D PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> MCKTON, CA 95202 <br /> RTI XCATION OF RETURNLIQ99M.PLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on :ALC/-Z%-2- <br /> As <br /> ALC/- Z ?As Identified in the Inspection Report dated l! <br /> Conducted by : / e :;&« <br /> Inspector(s)] [EHD <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation <br /> cited above. <br /> 2• I 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 inquiry of <br /> the individuals who prepared or obtained it, I believe that the information <br /> is true, 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 <br /> information, including the possibility of fine and imprisonment for knowing <br /> violations. <br /> Facility Address IY 4M/TCC j c + FPA ID. Number <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> ci <br />