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APS.` -23-2004 06:58 AM CHARTER WAY SHEL 12094666125 P.02 <br />JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br />SXN' DEPARTMENT <br />V.NVIRONMENTAL HEALTH <br />I <br />304 F.- <br />AVENUEGA • <br />♦O: • �. <br />• `- <br />CE -8 To <br />.,:tiazWaste ardous <br />Generators <br />i. • ■ on:j3z-�2,1t <br />As Identified in the In the matter of the Inspection <br />,, • • <br />XA <br />Conducted by". 4—UM,—E <br />specifiedI certify under penalty Of 18W that" . on$ In the noticli Of <br />Respondent has corrected the viOlatl <br />examinedviolation cited above. <br />documentation attached <br />any <br />have <br />person •corrected - <br />certification <br />• <br />. <br />* to <br />establish <br />inquiry of the v <br />individuals'twd.j%0%tiop and <br />3. Based on my examination of the attac dpp7 <br />1 prepared <br />the Information is true, accurate, and complete- <br />4. <br />certification on <br />5. 1 am aware that there are <br />• penalties <br />of <br />fine and <br />knowinginformation, Including the possibility <br />imprisonment for <br />violations. <br />a <br />i <br />MAW .' <br />Facility Address <br />R Title <br />Name (Print or <br />Type) <br />`1�Iroats Signed <br />re <br />EH®CERT (r®v WIN) <br />