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SAN JOAQUIN COUNTY UNIFI D PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEaRTMENT�� <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />CERTIFICATION OF RETURN TO COMLI�ITVC'4 PM 3: 00 <br />F� <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on : q'Z --C <br />1 <br />As Identified in the Inspection Report dated <br />Conducted by : fico... 'OLLI (� �rCS> [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 />:'r-N\fk .i�G r <br />�iwvit,A ("a cl52t):L <br />Facility Address <br />EHDCERT (rev 1/07/02) <br />L ZZ Z- <br />EPA ID. Number <br />Title <br />)� -a) - 0 1 <br />Date Signed <br />