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$AN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br />�NVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />MMIME&I-NmIlLeI Z TAU03:1 <br />320*U j�mjr <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on; /)- ? 16 <br />As Identified.in the Inspection Report dated: <br />Conducted by: tEHD Inspector(s)) <br />I certify under penalty of.law that: <br />Respondent has corrected the violations specified in the notice of <br />violation cited above. <br />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 dqc <br />, _umentation 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 />A'2 xyh!!gh 4 - <br />Facility Address EPA ID. Number <br />P6 4c <br />Name (Print or Type) Title <br />Signature Date Signed <br />EHOCERT (rov 1107102) <br />