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11/17/2004 13:11 1209948" MASONITE PAGE 02/0' <br />bANOPAqUIN WUN I Y UNI FW PROGRAM AGENCY <br />E <br />NVIRONMENTAL HEALTH DEPARTMENT <br />304 rz.- wEsEP. AVENUE <br />STOCKTON, CA 9.5202 <br />For Hazardops Waste Generators <br />In the matter of the Violation cited on _2 <br />As Identified in the Inspection Report dated 10-JLa-b q <br />Conducted by : biII&AIDAJI OZEVt!�-) [EHD Inspector(s)) <br />1P <br />I certify under penalty of law that: - <br />1. Respondent has corrected the violations spe'cifled 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 i. 1) 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. I 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) C" <br />W SC om <br />k--hwi CA- qx5 PM5 CA- U)00 ;>L4 05 ):1 <br />Facility Address EPA ID. Number <br />OWL -- <br />Name (Pr4int or Type)Q' Title , I <f <br />Jjj qvii <br />tignaturd Date Signed <br />DiDCMT (MY V07102) <br />