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11c:CE <br /> San Joaquin County IVSD <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232A� ZQ�� <br /> Telephone. (209)468-3420 Fax:(209)468-3433 Web:www.sigov.orglehd NVIRpN1f„Nr <br /> AL R �V771 <br /> RETURN TO COMPLIANCE CERTIFICATION � RMlriss <br /> Any MINOR violations noted in the"Notice to Comply” in the attached Inspection Report must be corrected within 30 days of <br /> receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD) address <br /> the top of this form within 30 days of receipt of the Inspection Report. HSC 25404.1.2(c)(1) <br /> All corrections to other violation_ s noted in the attached Inspection Report(IR)or Continuation Form, or disputes to any <br /> violations, are to be submitted using this certification and returned to EHD within 30 days unless otherwise specified in the <br /> Inspection Report. HSC 25185(c)(3) <br /> Note: All EHD 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 violation <br /> Copies of sample results/manifests/training records/other appropriate paperwork, and/or photos verifying corrections <br /> Inspection Date: April_18, 2016 _ Inspected By. STACY RIVERA <br /> Facility Address:_820 S AMERICAN ST STOCKTON EPA ID: <br /> I certify under penalty of law that-. <br /> 1. 1 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 X'_ 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: 0 2. Title: C)w <br /> Signature: Gx_,,,A 11-�, Vr "u;, C)on- A4-z— - - Date: �' 2 <br />