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5 �3 <br /> N lai <br /> SAN JOAQUIN COUNTY UNIFIE'b PROGRAM AGENCY Ems`- " ��� cvF � � �+ <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: �'2A -0A <br /> As Identified in the Inspection Report dated: 3 O� <br /> Conducted by: \`I V'O\ZI [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 /> CAD OSIHOZ 875 <br /> Faci ' Address EPA ID. Number <br /> F721_O l3AC.lM13AlN /'Z,4A/71.11/G/�/��2 <br /> Name (Print or Type) Title <br /> Signature ate Signed <br /> EHDCERT(rev 1107102) - <br />