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03/02/04 01:17pm P. 002 <br />SAN JOAQUIN COUNTY UN1riED PROGRAM AGENCY SiuS,�R �•Q 3�i3�® <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 01c— <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous Waste Generators <br />In the matter of the Violation cited at: g... 3 <br />As Identified in the Inspection Report dated on: �3 <br />Conducted by:[EHD Inspector(s)] <br />I certify under penalty of law that: <br />1. Respondent has corrected the violations specified in the notice of violation <br />cited above. <br />2. I 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 inquiry of <br />the individuals who prepared or obtained it, I believe that the information <br />is true, accurate, and complete. <br />4. I am authorized to file this certification on behalf of the Respondent. <br />5. I am aware that there are significant penalties for submitting false <br />information, including the possibility of fine and imprisonment for knowing <br />violations. <br />Facility Address <br />��� 7),�L)kg <br />Name Print or Type) <br />. A G-V� <br />Signature <br />EHDCERT (rev 1/07/02) <br />EPA ID. Number <br />Title <br />2--2c . <br />Date Sligned <br />