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STATE OF CALIFORNIA-ENVIRONMEr L PROTECTION AGENCY PETE WILSON, Governor <br /> DEPARTMENT OF TOXIC SUBS .ANCES CONTROL <br /> REGION 1-10151 Croydon Way, Suite 3 <br /> Sacramento, CA 95827 <br /> TIERED P .RMITTIN('T <br /> CERTIFICATION OF RETURN TO COMPI,IANCF. <br /> For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> In the matter of the Violation cited on : ' 3/ Ari <br /> As Identified in the Inspection tion dated o 4 l 3 199 :5 D 1404 (S �9/S <br /> Conducted by : L l S G PV L�- �'}" S — D . (agency(s)) <br /> I certify under penalty of law that: <br /> I. Respondent has corrected the violations specified in the notice of violation cited <br /> above. <br /> 2. I have personally examined any documentation attached to the certification to <br /> establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and inquiry of the <br /> individuals who prepared or obtained it, I believe that the information is true, <br /> 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 information, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> NAtll� E �A-.-�-r <br /> Name (P ) Title <br /> Signature Date igned <br /> '50M rb&� , & C+L a9 �o,68 <br /> Company Name EPA ID. Number <br /> DTSC-RETCOMP.CRT(8/94) <br />