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12/27/2002 10: 32 2032391792 JACKPOT FOODMART PAGE 03/04 <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY • <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 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: <br /> As Identified in the Inspection Report dated: 10-1bn <br /> Conducted by: b I n a Ah CCt c _[EHD Inspector(s)] <br /> 1 certify under penalty of Jaw 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 /> OSe" ,A� �3v ��1�4 582 <br /> Facility Addre' s EPA ID. Number <br /> .�(Dq 0 e 1V fJUrvt i?6t�A4+cr4 �Oh(_p�1,4h�e &aAnPJ0 <br /> Nam int or Type) Title <br /> / 1 -3/G3 <br /> Signalure Date Signed <br /> EHDCERT(rev1107102) <br />