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SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> STOCKTON,CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> atter of the Violation cited on: 7 <br /> In the m //0j <br /> dated: /C3 <br /> / <br /> As Identified.in the Inspection Report <br /> Conducted by: [EHD Inspector(s)] <br /> certify under penalty of law that: <br /> Respondent has corrected the violations specified in the notice of <br /> violation cited above. <br /> 2. I have personally examined <br /> certification to establish violations the 'olat.ons have been corrected. <br /> 3. Based on my examination of the attached documentation <br /> belied a that <br /> inquiry of the individuals who prepared or obtained <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 submittingfo e <br /> information, including the possibility of fine and imprisonment <br /> knowing violations. <br /> . _ . C•AT - <br /> Facility Address EPA ID: Number <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHDCERT(rev 9107102) <br />