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SAN JOAQUIN COUNTY UNIFIMPROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DIMTMENT <br />304 E. WEBER AVENUE � <br />STOCKTON, CA 95202 <br />L9:1 63 1191, i 110, <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on : �i �`� `�� `� <br />As Identified in the Inspection Report dated <br />[EHD Inspector(s)] <br />Conducted by T) r 6- C, C- <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. 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 inquiry of <br />the individuals who prepared or obtained it, I believe that the information <br />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 knowing <br />violations. <br />, V)L <br />C Al("'A 1`6z -vu <br />Nk-'[) civ, -z r5c- I -I �-3 (0 <br />Facility Address EPA ID. Number <br />Name (Print or Type) <br />Signature <br />EHDCERT (rev 1/07/02) <br />Title <br />