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-4 JOAQUIN COUNTY UNIFI16PROGRAM AGENCY • <br /> JVIRONMENTAL HEALTH DEPARTMENT <br /> 04 E.WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: l0 11 O <br /> As Identified in the Inspection Report dated: 10>/Z/ d <br /> Conducted by: K CL:1 �LO�— rI''' [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. Respondent has con , notice of <br /> violation cited above <br /> 2. 1 have personally exa pd&j5FAd- to the <br /> certification to estat 'rected. <br /> 3. Based on my exavid and <br /> th <br /> inquiry of the indivi ;lieve that <br /> the information is trL <br /> 4. 1 am authorized to fil ospondent. <br /> 5. I am aware that ther <br /> :ing false <br /> information, includir -nent for <br /> knowing violations. <br /> 301 I 5 �� CSL DOC) V41 770 <br /> Facility Address EPA ID. Number <br /> Name (Print or Type) Title <br /> Signature Date Signed <br /> EHDCERT(rev 1107102) <br />