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2315 N. EI Dorado St:' <br /> Stockton; CA 95207': <br /> NO DISCHARGE OF GROUNDWATER OCCURRED.AT TINS LOCATION <br /> DURING (1�ION I HIYEAR) :_ ck M <br /> I certify under penalty of law that this docuiilent and all attaclvnersts.��ere,prepared under niy, <br /> directiort or supervisionin accordance with a system designed.to assure that qualified-personnel <br /> properly gather and evaluate the.information submitted. Based on'my inquiry of the-person or <br /> persons who manage thesystem,or those.persons directly respon ible for gatheririgahe information,. <br /> the information submitted is;t©the best of myknowledge belief,true,accurate;.and complete.I <br /> am aware that there are significant penalties for:subiAitting false 'infoninatiori; including the <br /> possibility of fine.and imprisonment fbr.kriowing violations. . <br /> CORPORATE OFFICER::;. . <br /> " rias 1`s%�b `;c•� <br /> PRINT NAME`. <br /> TITLE _ <br /> DATE: <br />