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t7e`d -idlol <br /> %AN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WE6ER AVENUE <br /> STOCKTON,CA 85202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: <br /> As Identified in the Inspection Report dated:�/l �63 <br /> Conducted by: <br /> L� [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 /> 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 attached documentation and <br /> inquiry of the individuals who prepared or obtained it, l 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. 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 /> Facility Address EPA ID: Number <br /> Name (Print or Type) Title <br /> fo 0 <br /> ignature Date Signed <br /> FWn(:FRT/rev 1!07102) <br /> b0ib0'd BSLB 62b 6SS T ETT 'S'a'3'�i -inOH-n 6b:VT 200E-SO-SON <br />