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SAN,,.JOAQUIN COUNTY UNIFI* PROGRAM AGENCY <br />cNVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />5 D <br />1 <br />CERTIFICATION OF RETURN TO COMPLIANCE MAY 0 6 2004 <br />EIVVVIRONMENT HEALTH <br />For Hazardous Waste Generators PERMMISERVICES <br />In the matter of the Violation cited on: <br />As Identified in the Inspection Report dated: 0"�-'2"3`yl <br />Conducted by: � c3� [EHD Inspector(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 />AN <br />Facility Address <br />EPA ID. Number <br />I - �- � 5 9-h <br />Name (Print or Type) Title <br />ignature <br />EHDCERT (rev 1/07/02) <br />os-oy--O <br />Date Signed <br />