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3AN JOAQUIN COUNTY UNIFIE06ROGRAM AGENCY • <br />_NVIRONMENTAL HEALTH DIVISION <br />304 E. WEBER AVENUE <br />3TOCKTON, CA 95202 <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on: —/— 2 6 O i <br />As Identified in the Inspection Report dated g-2-2-01 <br />Conducted by: <br />n <br />Inspector(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. I 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 />�1C �n.os��yironrv�e,,�i l""OTLr <br />Name (Print or Type) Title <br />Signature Date Signed <br />c7Ez©sz-763 <br />Company Name �— EPA ID. Number <br />DISC-RETCOMP.CRT (8/99) <br />