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SAN JOAQUIN COUNTY UNIFIEu PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <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: 12- <br /> As Identified int a Inspection Report dated: <br /> Conducted by: / �� t � f P _[EHD Inspector(s)] <br /> certify un er penalty of law that: <br /> 1. Res ondent has corrected the violations specified in the notice of <br /> viol tion cited above. <br /> 2. I er a personally examined any establ establish that the violations have been corrected. <br /> tion attached to the <br /> certification to <br /> 3. Based on my examination of the attached documentation and <br /> inquiry of the individuals who prepared or obtained it, I believe that <br /> the information 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 imprisonmentfor <br /> knowing violations. <br /> Facility Address J %� =�`-�j C�9 EPA ID. Number <br /> Name (Print or Type) Title <br /> Signature Dae Sig ed <br /> EHDCERT(rev 9107102) <br />