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Ara JOAQUIN COUNTY UNIT'& <br />PROGRAM AGENCY � <br />ENVIRONMENTAL HEALTH D ARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, 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: <br />04JQA� I <br />Conducted. by: A�`t1J �-S� [EHD Inspector(s)] <br />I certify under penalty of law that: <br />1. Respondent has corrected the violations specified in the notice of <br />violation cited above. <br />2. 1 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 <br />inquiry of the individuals who prepared or obtained it, I believe that <br />the information is true, accurate, and complete. <br />4. 1 am authorized to file this certification on behalf of the Respondent. <br />5. 1 am aware that there are significant penalties for submitting false <br />information, including the possibility of fine and imprisonment for <br />knowing violations. <br />r _ �r sir <br />AddressFacility ., ID. Number <br />r � <br />• <br />� t • <br />W <br />Signature Date Signed <br />EHDCERT (rev 1/07102) <br />