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JOAQUIN COUNTY UNIFIEf ROGRAM AGENCY O� <br /> iVVIRONMENTAL HEALTH DIVISION 1 EVE§ �/J904 E. WEBER AVENUE [%e <br /> 3TOCKTON, CA 95202 MqR 0 ,5 200 <br /> PE�M/T1 E��h�gL <br /> CERTIFICATION OF RETURN TO COMPLIANCE cd <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on: <br /> As Identified inn Report dated <br /> Y <br /> Conducted b : l�J ���J , [EHD Inspector(s)] <br /> I certify under penalty of law that: <br /> 1. 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. rvv—�� �+ U q&- <br /> 3. <br /> 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 /> Name(Print or Type) Title <br /> Sign�tu Date Signed <br /> Company Name EPA ID.Number <br /> DTSC-RETCON[P.CRT(8/99) <br /> r/-z pAzWA <br />