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SAN JOAQUIN COUNTY UNI 110OGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DMS N <br /> 304 E.WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: i o ZS <br /> As identified in the inspection Report dated IO Z'S �' <br /> Conducted by: MAjC tr-- [EHD Inspector(s)] <br /> I certify under penalty of law that: <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 /> 1 �� <br /> F101D F1 <br /> Name (Print or Type) T le <br /> (�ii�A�cif Ld <br /> Signature Date Signed <br /> a%ioW 91 n <br /> 1140-1 BESSEMER AVE <br /> Company NCA 95337 EPA ID. Number <br /> 209)825-7176 <br /> DTSC-RETCONIP.CRT(8/99) <br />