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May 23 2003 3: 24PM C& Bros. Tire Service 2835-0401 F. 1 <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> FrOCKTON,CA 95202 - • <br /> CERTIFICATION OF RETURN TO CQMMUANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on :,!�X feas �.LI <br /> As Identified in the Inspection Report dated <br /> Conducted by: [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation <br /> cited above. <br /> 2. I 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 inquiry of <br /> the individuals who prepared or obtained it, I believe that the information <br /> is true, 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 <br /> information, Including the possibility of fine and Imprisonment for knowing <br /> violations. <br /> sol C 11"IsT —� <br /> Facility Address EPA ID. Number <br /> LAQ6EL9/ ET.UA)&7?� <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHOMT(rev 1/07/02) <br />