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AN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> NVIRONMENTAL HEALTH DEPARTMENT <br /> 0.4 E.WEBER AVENUE <br /> TOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE �2M I �� <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: Z� D <br /> As Identified in the Inspection Report dated: <br /> Conducted by: ' slla� L �•?- [END Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of <br /> violation cited above. <br /> 2. 1 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 <br /> inquiry of the individuals who prepared or obtained it, I believe that <br /> the information is true, accurate, and complete. <br /> 4. 1 am authorized to file this certification on behalf of the Respondent. <br /> 5. 1 am aware that there are significant penalties for submitting false <br /> information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> l (tel BO . LO Q <br /> Facility Address EPA I . Number <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHDCERT(rev 1/07102) <br /> 40 30Vd o3 3snd3d NI1H9nv-1ow LTVVEEE60Z gs:ZT b00Z/LZ/40 <br />