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Cal-EPA DEPARTMENT OF TOXIC SUBSTANCES CONTROL PETE WLL.SON. i overnc <br /> SAN .'OAO.UIN COUNTY PUBLIC —nEALTH SERVICES <br /> ENNARONMENTAL HEALTH DIVISION <br /> '64 E. WEBER AVENUE I P.O. BOX 388 <br /> STOCKTON, CA 95201-0388 <br /> TIERED PERMITTING <br /> CERTIFICATION OF RETURN TO COMPLIANCE <br /> For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> In the matter of the Violation cited on : I I <br /> As Identified in the <br /> Inspection <br /> PReport dated <br /> Conducted by : �`� 1 L7S� l/ (agency(s)) <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation <br /> cited above <br /> 2. 1 have personally examined any documentation attached to the certification <br /> 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. <br /> omplete4. 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 <br /> knowing violations. <br /> LL yp R N L Cr Ejp\/V I P-otiMwmZ ACF� M6'e <br /> Name (Print Type) Title <br /> Signature Date Signed <br /> 9Z37ca6Zy <br /> Company Name EPA ID. Number <br /> DTSC-REPCOMP.CRT(8194) <br />