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`,AN JOAQUIN COUNTY UNIFIEC 30GRAM AGENCY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E:WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: ! "l- ( - �7 `) <br /> As Identified in the Inspection Report dated I <br /> Conducted by: Vi CA -9—-9—dfAZA- [EHDInspector(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. 1 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 /> ('v24,S Ow-� <br /> Name(Print or Type) Title <br /> Signature Date Signed <br /> R ft � ; CA Boo 10 ZFs <br /> Company Name : ITEPA ID. Number <br /> A p-V C ISi�RR(� <br /> DISC-RETCOMP.CRT(8/99) / <br />