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SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DgRTMENT <br /> 304 E.WEBTON, C AVENUE95202 <br /> STOCKTON, CA 95202 <br /> MAR 15 2004 <br /> CERTIFICATION OF RETURN TO COMPLIA ROWE, r;,:._- H <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited at: my <br /> As Identified in the In pection Report dated on: Q� <br /> Conducted by: --74�A [EHD Inspector(s)] <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 inq'uirr 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 /> k/ CAL 0001 q (pq6 <br /> Facility Address EPA ID. Number <br /> Name (Print or Type) Title <br /> hbo) o <br /> ig ure Date Signed <br /> EHDCERT(rev 1/07/02) <br />