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SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT " <br />304 E. WEBER AVENUE + <br />STOCKTON, CA 95202 <br />CERTIFICATION OF RETURN Ta COMPLIANCE <br />JUN 1 2 2003 <br />For Hazardous Waste Generators <br />ENVIRONMENT HEALTH <br />PERMIT/SERVICES <br />1n the matter of the Violation cited on: <br />As Identified in the inspection Reportdated: <br />Conducted by: [EHD Inspector(s)] <br />I certify under penalty ofaaw that: <br />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, l 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. tam aware that there are significant penalties for submitting false <br />information, including the possibility of fine and imprisonment for <br />knowing violations. <br />Ladd's Stockton Marina, Inc. <br />4911 Buckley Covc Way <br />Stockton Calif, 95219. C�� QQ(758 <br />Facility ddress EPA ID: Number <br />(AO-?) .¢77—i, z/ <br />Allen Bondifield Seer?tar <br />Name (Print or Type) 'title <br />6ll 693 <br />Signature Date Signed <br />EHOCERT (rev 1107/02) <br />2'd b6*0 8Lb 602 ptaxjtuuos uajjd e2b:60 60 LT Znr <br />