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r., <br /> NT OF TOXIC SUBSTANCES CONTROL <br /> Arnold Schwarzenegger, Governor <br /> Cal-EPA DEPARTME <br /> ShN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN ST. <br /> STOCKTON, CA 95202-3029 .e <br /> TIERED PERMITTING <br /> CERTIFICATION 0 P RETURN TO COMPLIANCE <br /> For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> � r D RECEIVED <br /> In the matter of the Violation cited on: ' / <br /> Located at: (facility address) MAY 0 7 2014 <br /> �L ► <br /> As Identified in the Inspection Report dated 10 ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> Conducted by: kP (agency($)) <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 h Lve been corrected. <br /> 3. Based on my examination of t ke attached documentation and inquiry of the <br /> individuals who prepared oro twined it, I believe that the information is true, <br /> accurate, and complete. <br /> 4. I am authorized to file this ce 'fication 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 /> �u rte' <br /> Xpe) Title <br /> Date Signed <br /> GPn CPr(, X50` <br /> Company Name EPA ID.Number <br /> Revised 06/08/07 <br />