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O� <br /> k0iOCICTON, <br /> JOAQUIN COUNTY UNIFIE G AGENCY <br /> VIROENTAL HEALTH DE MENT <br /> 4 E. WEBER AVENUE Mff�CA 95202 <br /> JUL T "3 2004 <br /> ENVIRONMENT HEALTH <br /> CERTIFICATION OF RETURN TO COMPLIANCE PERMIT/SERWCES <br /> For Hazardous Waste Generators <br /> In the matter of the Violation cited on <br /> As Identified in the Inspection Report dated (s-1-0- <br /> Conducted' <br /> -Conducted by : 1 nC(- PSV o-L [EHD Inspector(s)] <br /> I certify under 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 documentation 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 /> SIC C-Av��e, Fb-(k <br /> 1 "t ct 3 M RA <br /> Facility Address EPA ID. Number <br /> ry ii ji <br /> Name (Print or Type) Title <br /> C�- <br /> Signature Date Signed <br /> EHDCERT(rev 1/07/02) �I <br />