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,al -EPA DEPARTMENT OF TOXIC�STANCES CONTROL , <br />* W" GRAY DAVIS Governcr <br />SAN JOAN N COUNTY UNIFIED PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENTT�I HE <br />804 E. WESER AVENUE " '�� ifi <br />STOCKTON, CA 95202 03 JUL 21 PM 06 <br />TIERED PERMITTING <br />CERTIFICATION OF RETURN TO COMPLIANCE <br />For Permit by Rule, Conditionally Authorized, and Conditionally Exempt <br />Notifiers <br />In the matter of the 'Violation cited on: <br />Located at: �. Pr�c+r✓' (,facility address) <br />As Identified in the Inspection Report dated <br />Conducted by : <br />I certify under penalty of law that: <br />ncy(s)) <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 inquiry <br />of the individuals who prepared or obtained it, I believe that the <br />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 />(_5 ._ - <br />Name (Print or Type) Title <br />Xinature <br />ompany NI-nie <br />Revised 3i5/02 <br />Date Signed <br />