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,di-EPA DEPARTMEN r OF TOXIC Sl. 'ANCES CONTROL GRAY DAVIS, Governor <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY st�� , <br /> ENVIRONMENTAL HEALTH DIVISION �'. <br /> 304 E.WEBER AVENUE a <br /> STOCKTON, CA 95202 <br /> C�111011M� <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: <br /> As Identified in the Inspection Report dated Z- 71�- (-D C-) <br /> Conducted by: tir �c ��, , ; [ rctr rnF ..;�i�� (agency(s)) <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 vioiations. <br /> Name(Print or Type) Title <br /> - 1Z —G C ) <br /> Signature Date Signed <br /> h, <SX 0ass <br /> Company N e T EPA ID.Number <br /> DTSC-RETCOMP.CRT(2/99) <br />