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,Mo., I.010 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> tufo East Main Street,Stockton,CA 95202-3429 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.orgrehd <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations noted to the"Notice to Comply" in the attached Inspection Report must be <br /> corrected within 30 days of receipt of this inspection. This certification form must be submitted to the <br /> Environmental Health Department(EHD)address at the top of this form within 35 days of receipt of the <br /> Inspection Report. <br /> All corrections to other violations noted in the attached Inspection Report(1R)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 EHD staff time associated with falling to comply by the above noted dates will be billed at <br /> the current hourly rate. <br /> For this certification t0 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 <br /> verifying;corrections <br /> • Operator's certification <br /> Inspection Date: May 29, 2009 Inspected By: Ray von F l u <br /> 1616 Boeing Way <br /> Facility Address:Stockton, CA 95206 EPA ID#: CAL 000 316774 <br /> 1 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. 1 have personally examined the following documentation submitted as proof of compliance FOR <br /> EACH VIOLATION and i believe the information to be true, accurate,and complete: <br /> Photos X -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 significant penalties for submitting false information, including;the <br /> possibility of tine and/or imprisonment for known violations. (HSC 25191) <br /> Name. Tatsuo Ishida Title: CEO / President <br /> Signature: T h�},Q Date: JUNE 24 , 2009 <br /> EHD 22-02=005 Rev 11/07 <br />