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3AN JOAQUIN COUNTY UNIFIEEMOGRAM AGENCY <br /> NVIRONMENTAL HEALTH DIVI M N <br /> 304 E. WEBER AVENUE <br /> 3TOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE i�,9rl//; 4,0 <br /> For Hazardous Waste Generators <br /> In the matter of the Vio ation cited on: l0147 y <br /> As Identified in the Insp ction Report dated <br /> Conducted by V e. S 6 SSD0 �, t� �.5. �� [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respon ent has corrected the violations specified in the notice of violation cited <br /> bove. <br /> 2. have p rsonally examined any documentation attached to the certification to <br /> Istablisi 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 /> accurat , 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 /> includin the possibility of fine and imprisonment for knowing violations. <br /> L"., l S�o 11��5 �- V- <br /> Name(Print or I ype) Title <br /> C, <br /> Signature Date Stgned <br /> CA L. gZ019(o74L <br /> Company Name EPA ID. Number <br /> DTSC-RETCOMP.0 (8/99) <br />