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;AN JOAQUIN' COUNTY UNIFIECOOGRAM AGENCY 4f <br /> MIRONMENTAL HEALTH DiVISION <br /> 04 E.WEBER AVENUE <br /> ,TOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Vio ation cited on: <br /> As Identified in the Inspection Report datedZvi C�5 <br /> Conducted by: /- — [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 an 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 /> accura e, and complete. <br /> 4. I am au horized 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 /> '�4pim't�-2 <br /> Name(Print or Type) Title <br /> Signature Dat Signed <br /> Company Name EPA ID. Number <br /> DTSC-RETCObMP.CRT(8/99) <br />