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Cal-EPA DEPARTMENT OF TOXI`rUBSTANCES CONTROL v PETE WILSON Governor <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. WEBER AVENUE / P.O. BOX 388 <br /> STOCKTON, CA 95201-0388 <br /> TIERED PERN117 'ING <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Permit by Role, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> In the matter of the Violation cited on : /0— Z -77 Identified in the Inspection Report dated /0 - 2 9-? 7 <br /> Conducted by : G�CA��, cJg-eAllf s/- 514D (agency(s)) <br /> I certify under penalty of law that: <br /> 1. Responder_+ has corrected the violations specified in the notice of violation <br /> cited above. <br /> 2. I have personally examined any documentation attached to the certification <br /> 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 /> am authorized to rile 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 <br /> knowing violations. <br /> 'TETE WOJE h/�I �, (Z'al - <br /> Name (Print or Type) Title <br /> Si .ture Date Sign d <br /> Com ny Name EP A ID. " mt:: <br /> DTSC-RETCOMP.CRT(8/94) <br />