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cu rrcuURAM AGENCY . <br />ENVIRONMENTAL HEALT PARTfyEryT l <br />304 E. WEBER AVENUE <br />sJOCF(TON, CA 95202 <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous waste Cenerators <br />In the matter of the Violation cited on : la- 2—Dy <br />As Identified in the Inspection Report dated <br />Conducted by : <br />Inspector(s)] <br />I certify under penalty of law that: <br />Respondent has corrected the violations specified in the notice of violation <br />cited above. <br />Z. 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 />&LY NLI,:)- 1 r VL -e- '+ <br />IQIS—b 5 <br />Facility Address <br />Com - <br />EPA ID. Number <br />I r� CiGGr�'Ylo►'��J�_ <br />Name (print or Type) Title <br />12-11 (-p)-o <br />Signature pate Signed <br />EMUCER 919Y <br />Mfg) co nf) P� 0 LA Ob Ed bj�'j qeG5 <br />TO 39Vd SNI '91,1I>ionNi S3NbIV9 98TOE9680Z ZZ:ET bOOZ/9T/ZT <br />