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SAN JOAQUIN COUNTY UNION PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />PA p. ei- Le-, <br />�V4 b, o� <br />r i•'iRGfit�� <br />114 HEAL lit`?'VICE <br />03 SEP 22 PM 12: 49 <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on:q Y <br />As Identified in the Inspection Report dated: � Z <br />Conducted by: A4JA09Q- Le— [EHD Inspector(s)] <br />certify under penalty of law that: <br />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 />Facility Address EPA ID. Number <br />� wI t A rr 4_ <br />Name (Print or Type) Title <br />Signature Date Signed <br />EHDCERT (rev 1/07/02) <br />