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SAN JOAQUIN COUNTY UNIFIE*6 PROGRAM AGENCY f <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: v a <br /> As Identified in the Inspection Report dated: q <br /> Conducted by:c�'*--\S 045 (kc� [EHD Inspector(s)) <br /> I 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 imprisonmentfor <br /> knowing violations. <br /> 9sa Z'�.,��sf Q[ O. 'vr ffoc kms„ CAc Don !$ 2 86 <br /> Facility Address EPA ID. Number <br /> 9S2 a 6 <br /> S�eile ffAtke7 G9eneraL /'fa -a <br /> Name (Print or Type) Title <br /> u Date igned <br /> Signature <br /> i ; <br /> MCERT(rev 1107102) - <br />