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10/19/2004 12:45 2094664,ca6 __r•®�VmGAR,YA WHELIHAN PAGE 01 <br />ENVIRONMENTAL HEALTH pRTMEN <br />304 E. WEBER AVENUE <br />STOCKTI CA 9520 <br />14Lf- 3`-(33 <br />- • ,� • • • • <br />For Hazardotis Wiste Generators <br />In the matter of the Violation cited on <br />i <br />As Identified in the Inspection Report dated <br />Conducted by <br />EHDCERT (rev 1/07/02) <br />Inspector(s)] <br />I certify under penalty of law that: - <br />I. Despondent 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 />of <br />C7 <br />Facility Address EPA ID. Number <br />.e <br />i�rr <br />�jt <br />��� V�/l7t"f� d-, <br />_ - -- <br />Name (Print or Type) Title <br />Signato Date Signed <br />