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SAN JOAQUIN COUNTY UNIFIELrPROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT '44 <br /> 304 E.WEBER AVENUE _n� <br /> STOCKTON, CA 95202 <br /> 04 Mq Y 24 PH <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: o <br /> As Identified in the Inspection Report dated: S 0 <br /> Conducted by: LP/ [EHD Inspector(s)] <br /> 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, I 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. 1 am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> /ams S. (1- moKEL Z,v. Ck) 98/97 142- <br /> Faci�lity Address <br /> EPA ID. Number <br /> Name (Print or Type) � Title <br /> Signature Dat Signed <br /> EHDCERT(rev 1/07/02) <br />