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tAN'jOAQUIN COUNTY UNIF&ROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />CERTIFICATION OF RETURN TO COMPLIANCE OCT 13 2003 <br />For Hazardous Waste Generators 'u-NVI!"30NMEN t r1t[:A'L <br />PFR -Mi 1 -/ SFR Vi("'FS <br />In the matter of the Violation cited on: <br />As Identified in the Inspection Report dated: <br />Conducted by: [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 />or 1 4 11 Ewa 4 fe <br />-1 MUM F1 il M 011 a el ra q Sit Em a Rk <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 />nLL' 0ow?A-!�ggp <br />Facility Address EPA ID. Number <br />Ivn <br />7-%..'WAW4 <br />"ic V+�K� - -- 44FZ� <br />Name (Print or Type) Title I <br />Si4nt e <br />I <br />EHDCERT (rev 1/07/02) <br />sm <br />Date Signed <br />