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FROM QUALITY TUNE-UP #9 PHONE NO. : 209 547 9085 Dec. 222015 08:49PM P1 <br /> San Joaquin County RECEIVED <br /> Environmental Health Department DEC 2 3 2015 <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209)468-3433 Web:www sia °r /eh ENVIRONMENTAL <br /> RETURN TO COMPLIANCE CERTIFICATION r CAITu nc000TAAGISIT <br /> Any MINOR violations noted in the"Notice to Comply" in the attached Inspection Report must be correct `""hin 3 address;of <br /> the top of of this inspection. This <br /> form within 30 daysofreceipt oation f the Inspection Report. HSC 25404.1 2(c)(1must be submitted to the Environmental Health Department(EHq) <br /> All corrections to other viol tis ons noted in the attached Inspection Report(IR)or Continuation Form, or disputes�d In the <br /> violations, are to be submitted using this certification and returned to EHO within 30 days unless otherwise spe <br /> Inspection Report- HSC 25185(c)(3) <br /> Note: All FHD staff time associated with failing to comply by the above noted dates will be <br /> billed at the current hourly rate. <br /> For this certification to be complete, the operator of the site must include: <br /> A statement documenting what corrective actions were taken or will be taken for each photos verifying corrections <br /> lstion <br /> Copies of sample resultslmanifestsltraining recordslother appropriate paperwork, fY <br /> Inspection Date: November 23 2015 Inspected By: HAZA SAEED <br /> Facility Address: 7730 HOLMAN RD STOCKTON <br /> EPA ID: nCC7 (00 3 � <br /> I certify under penalty of law that: <br /> 1. I have corrected the violations specified in the Inspection Report from the above-mentioned inspection date. <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> I believe the information to be true, accurate, and complete: <br /> Photos 3 —Paperwork Statement <br /> 3. 1 am authorized to submit this certification on behalf of the Respondent. <br /> 4. 1 am aware that there are significant penalties for submitting false Information, including the possibility of a fine and/ . <br /> imprisonment for known violations. (HSC 25191) <br /> Name: <br /> lC� n�J Title: * <br /> Signature: 7� ___Date: <br />