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10 <br />3AN JOAQUIN LOUNTY UNIFIEC&OGRAM AGENCY <br />NVIRONrkNTAL HEALTH DIVISION <br />304 E. WEBER AVENUE <br />3TOCKTON, CA 95202 <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on: <br />As Identified in the Inspection Report dated 'Y 3 �M .1 <br />Conducted by : ALLSON1 y0LkJ4 BL002 R -E -H' S _ [EHD Inspector(s)J <br />I certify under penalty of law that: <br />1. Respondent has corrected the violations specified in the notice of violation cited <br />above. <br />2. I have personally examined any documentation attached to the certification to <br />establish that the Violations have been corrected. <br />3. Based on my examination of the attached documentation and inquiry of the <br />individuals who prepared or obtained it, I believe that the information is true, <br />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 information, <br />including the possibility of fine and imprisonment for knowing violations. <br />N HOT PL� PAIJ/-V6?F-P\ <br />Name (Print or Type) Title <br />Signature Date Signed <br />MAI j i hEl-L-- <br />Company Name <br />DTSC-RETCOMP.CRT (8/99) <br />CA L_ 0 0 0 0 2 65--4 1 <br />EPA ID. Number <br />