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Cal-EPA DEPARTMENT OF TOXIC SUBSTANCES CONTROL PETE WILSON, Governor <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> E ENVIRONMENTAL HEALTH DIVISION <br /> t 445 N. SAN JOAQUIN STREET I PO BOX 388 <br /> L STOCKTON, CA 95201-0388 <br /> i ` <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 : 5-26-95 <br /> As Identified in the Inspection Report dated 5-26-95 <br /> Conducted by : Public Health Services, San Joaquin County (agency(s)) <br /> 1 <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. I 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. 1 am authorized to file this certification on behalf of the Respondent. <br /> r <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 /> James B Ellis Quality Improvement Mgr. <br /> Name (Print or Type) Title <br /> gnature Date Signed <br /> Lustre-Cal Namepl.ate, Corp. <br /> CAD 981 387749 <br /> Company Name EPA ID. Number <br /> DISC-REfCOMP.CRT(8/94) <br />