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01/19/2005 17:21 2094683433 FIFTH FLOOR PAGE 02 <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY ROWED. <br /> WED. <br /> ENVIRONMENTAL HEALTH DEPARTMENT JAN 3 1 2019 <br /> 304 E.WEBER AVENUE <br /> STOCKTON,CA 95202 ENVIRONMENT HEALTH <br /> PERMIT/SERWCES <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: 1 o D S <br /> As Identified in the Inspection Report dated. b� <br /> Conductedby: , `I U� IAA� (EHDlnspector(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 /> �9(t2 N 16[6[eL q&6y,3,� <br /> Facility Address EPA ID. Number ( 1 <br /> C, kkvi2 ��(r i �Qe Balint ! �hVlra>1m1c, G• �,lplw�e <br /> Name Print or T pe) Title <br /> &iq6ture Date 13igne6l <br /> EHDCERT(rev 1107102) <br />