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APR -5-2016 07:46A FROM:B I G 0 2093687397 TO:4663433 P.7 <br />~ San Joaquin County' <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, Califomia95205-6232 APR 0 5 2016 <br />Telephone: (209) 468-3420 Far: (209) 468-3433 Web: www.siuov.om/ehd <br />RETURN TO COMPLIANCE CERTIFICATION140 !NME,NTAL <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 25404A.2(c)(1) <br />All corrections to other violations 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 EHDwithin 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 resultsrmanifestsrtraining recordslother appropriate paperwork, and/or photos verifying correction: <br />Inspection Date: March 09, 2016 <br />Facility Address: 302 N CHEROKEE LN, LODI <br />I certify under penalty of law that: <br />Inspected By: ARTS VELOSO <br />EPA ID: <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 VIOLA <br />I believe the information to be true, accurate, and complete: <br />Photos 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 <br />imprisonment for known violations. (HSC 25191) <br />Title: rD'r r-00, -L <br />Date: �/`PI '10 // <br />