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Cal-EPA DEPARTMENT OF TOXIC SLI CES CONTROL Edmund G. Brown, Jr., Governor <br /> IF <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT I'CE I <br /> 600 E MAIN ST. VC <br /> W o <br /> STOCKTON, CA 95202-3029 AUG 122011 <br /> ENV/Ro <br /> TIERED PERMITTING PERM; V rAtCE'�LfiW <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> In the matter of the Violation cited on <br /> 34f3-7 S. f}-rvv/ — <br /> Located at: 5 c Icy�r Gst q a L t, (facility address) <br /> As Identified in the Inspection Report dated <br /> Conducted by : l��} > (agency(s)) <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation cited <br /> above. <br /> 2. I have personally examined any documentation attached to the certification to <br /> establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and inquiry of the <br /> individuals who prepared or obtained it, I believe that the information is true, <br /> accurate, and complete. <br /> 4. I am authorized to file this certification on behalf of the Respondent. <br /> 5. I am aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> n CC) <br /> Name(Print or Type) Title <br /> - Signature Date Signed <br /> �k�PU►'� � �5,ms`s Silzt l U u� e� <br /> cop—? C 41) 0(),-1 /?q D(o <br /> Company Name EPA ID. Number <br /> Revised 0t/24/20t I <br />