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Cal-EP"A DEPARTMENT OF TOXICS TANCES CONTROL Amold Schwarzenegger,Governor <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN ST. <br /> STOCKTON,CA 95202-3029 <br /> i <br /> TIERED PERMITTING <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Permit by Rule,Conditionally Authorized,and Conditionally Exempt Notifiers <br /> i <br /> In the matter of the Violation oited on: b t7 <br /> Located at: br• (facility address) <br /> As Identified in the Inspection Report dated <br /> i <br /> Conducted by: V-0n F4,4--- (agency(s)) <br /> i <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 /> t6n �e,vrne., sa,Q <br /> ! <br /> Name Plat or Type) tle <br /> `71182®7 <br /> Signature Date Signed <br /> r <br /> C,A oapp+ 423 3 i <br /> Company Name EPA ID.Number <br /> Revised 06/08/07 <br />