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SAN JOAQUIN COUNTY UNIFIS PROGRAM AGENCY <br />9NVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE n <br />STOCKTON, CA 95202 O- <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous Waste Generators I-�`1 -- C�,-a (�� �; / � <br />�l�llslC��i �;'I <br />In the matter of the Violation cited on: <br />�ij / AUG 0 5 2003 <br />Elt,X RONMEN T HEALTH <br />As Identified in the Inspection Report dated: 0FRMJT/SF'RMCES <br />Conducted by: Q A�l Vol-) P(Lj ' [EHD Inspector(s)] <br />I certify under penalty of law that: <br />1. Respondent has corrected the violations specified in the notice of <br />violation cited above. <br />2. 1 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 <br />inquiry of the individuals who prepared or obtained it, I believe that <br />the information is true, accurate, and complete. <br />4. 1 am authorized to file this certification on behalf of the Respondent. <br />5. 1 am aware that there are significant penalties for submitting false <br />information, including the possibility of fine and imprisonment for <br />knowing violations. <br />Facility Address <br />Cir- 000L l5�bo <br />EPA ID. Number <br />e4glva Agevm �:tot�.,t e F 'W vwc� <br />Name (Print or Type) Title <br />�`- �- a3 <br />ignature Date Signed <br />EHDCERT (rev 1/07/02) <br />