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09/11/2003 09:57 2�9-839'x' 61 BACK ROADS CUSTn"^ CY PAGE 02/06 <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEA TH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on : G(,-"calif cCG('r-- <br /> As Identified In the Inspection Report date <br /> Conducted by: [EHD Inspector(s)] <br /> I certify tinder penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation <br /> cited above. <br /> 2. I 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 d cumenta i n and inquiry of <br /> the individuals who prepared or obtained it, I believe that the information <br /> is true, 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 <br /> information, including the possibility of fine and imprisonment for knowing <br /> violations. <br /> o4q �4*- ;, 0.5 0 <br /> Facility Address EPA ID, Number <br /> Name ( ri or Type) Title <br /> Signatu Date Signed <br /> EHOCERT(rev 1/07/02) <br />