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SAN JOQUIN COUNTY UNIFI*ROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DIVISION /R <br /> � <br /> 304 E. WEBER AVENUE <br /> STOCKTON, CA 95202 f-e <br /> Nv/'�� 816 OJ <br /> f <br /> ki0vN FEB 1 6 2001 <br /> CERTIFICATION OF RETURN TO COMPt'ANCE, STH <br /> NViRC)NNIENT I�IEALTH <br /> For Hazardous Waste Generators PERMIT/SERVICES <br /> In the matter of the Violation cited on: La CQ <br /> As Identified in the Inspection Report dated <br /> Conducted by : t1` I __ [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 /> a V'3 <br /> Name(Print or Type) Title <br /> Signature Dat Si d <br /> PA ID.Number <br /> Company Name E <br /> DISC-RETCOMP.CRT(8/99) <br />