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3AN JOAQUIN COUNTY UNIFIL-J PROGRAM AGENCY u <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> STOCKTON, CA 95202 I �C� I�\�/]j��rj} <br /> CERTIFICATION OF RETURN TO COMPLIANCE NOV 1 9 2004 <br /> ENV HUNIVIEIV l HEALTH <br /> For Hazardous Waste Generators PERMIT/SERVICES <br /> In the matter of the Violation cited on: I to LI <br /> As Identified in the Inspection Report dated: <br /> Conducted by: o A'L4 j^�, �`'�`� [EHD Inspector(s)] <br /> I certify under penalty of law 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 /> - evn 2,0a CP PQ'bn, o0o <br /> Facility Address EPA ID. Number <br /> Name (Print or Type) Title <br /> t1l ?!(�k <br /> Sig ature Date Signed <br /> EHDCERT(rev 1/07102) <br />