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;AN JOAQUIN COUNTY UNIFIEDIOOGRAM AGENCY <br /> :NVIRONMENTAL HEALTH DIVISION <br /> ,04 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: <br /> As Identified in the Inspection Report dated <br /> Conducted by: -thy [EHD 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 /> 1:Z C) <br /> Name(Print or Type) Title <br /> Signature Date Signed <br /> Company Name EPA ID.Number <br /> DTSC-RETCOMP.CRT(8/99) <br />