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:VVIRONMENTAL HEALTH DIVI& <br /> )4 E.VVEBER AVENUE <br /> rOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous waste Generators <br /> In the matter of the Violation cited on: C) <br /> As Identified in the Inspection Report dated 1 b II ?—*y <br /> Conducted by: �. L— I [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> f. 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. lam aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> `% j , i <br /> Nain�nt or Type) Title <br /> Pf <br /> 4iature Date S gned <br /> h; ,,.� 15� C,as<-� n_z•9,;� 1 s t_[-L CSL cryo 2��� cr►3 <br /> Company Name EPA ID.Number <br /> DTSC-RETCOMP.CRT(8/99) <br />