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SAN JOAQUIN COUNTY UNIF1 PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />44 <br />Z6q <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />. For Hazardous Waste Generators <br />In the matter of the Violation cited on <br />As Identified in the Inspection Report dated <br />Conducted by : DI aA' [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 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 EPA ID. Number <br />D 1A",N'0 a i a , <br />C r u i L, T-7 <br />Name (Print or Type) Title <br />Signature Date Signed <br />EHQCERT (rev 1107102) <br />Z 'd 6 Z6'�PI 8t££ -06-60Z 'dSPlVd1 d30A WVLI:H ti00Z '81'JEN <br />