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Jul 16 ZU11 Ub : JJ HM renske 1rucA Leasing Uo. L. Y . b1U/ /0b44G 6/GI <br /> SAN JaAQUIN COUNTY <br /> F.NVIRONNILNTAL Hi!_AL'rfl DEPARTMLNT <br /> 600 East Maid Strect,Stockton,CA 95202-3029 <br /> 'releplrone:(209)469-3420 Fax:(209)468-3433 Web:w�ycv,;i ov.or chd <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MWOR violations noted in the"Notice to Comply"in the attached Inspection Report must be <br /> corrected within 30 days of receipt of this inspection. This certification Torun must be submitted to the <br /> Environmental Health Department(EHD) address at the top of this forrn within 35 days of receipt of the <br /> Inspection Report. <br /> All corrections to other violations noted in the attached Inspection Report(IR)or Continuation Form,or <br /> disputes to any violations, are to be submitted using this certification and returned to EHD within 30 days <br /> unless otherwise specified in the Inspection Report. <br /> Note: All ETID staff time associated with falling to comply by the above noted dates will be billed at <br /> the current hourly rate(S122). <br /> For this certification t0 be CO111PICte the operator of the site must include: <br /> • A statement documenting what corrective actions were taken or will be taken for each violation <br /> • Copies of sample results/manifests/training;records/other appropriate paperwork.and/or photos <br /> verifying corrections <br /> • Operator's certification <br /> Inspection Date: Inspected By: Stacy Rivera <br /> Facility Address: 310 p0las-w EPA ED#: L'A)L.000/g.3 6 SU <br /> I certify under penalty of law that: <br /> 1. 1 have corrected the violations specified in the Inspection Report from the above-mentioned <br /> inspection date. <br /> 2. I have personally examined the following documentation submitted as proof of compliance FOR <br /> EACH VIOLATION and I believe the information to be rive,accurate,and complete: <br /> X Photos /< Paperwork X Statement <br /> 3. 1 am authorized to submit this certification on behalf of the Respondent. <br /> 4. l am aware that there are sio*nifieant penalties for submitting false infortttation, including the <br /> possibility of a fine and/or imprisonment for known violations.(rJSC 25191) <br /> Name_ A./lierl Title: IKA. <br /> 5igtiatul c: oe <br /> hate: <br /> EEID 22-02-00 Rev 0S/10 <br />