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04/24/2006 07:58 2094683433 EHD PAGE 04 <br />SAN JOAQU N COUNTY <br />FNvIRoNMENTAL 11BALTH D)! -IPA tTMENT <br />304 East Weber Avenue, 3fd Floor, Stockton, CA 95202-2708. <br />Telephone.. (209).468-3420 Fax.. (209).468-3433. Web. www.sigov.ore/ehd <br />RETURN. TO COMPLIANCE CERTIFICATION <br />Any MINOR violations noted in the "Notice to Comply" in the attached inspection report must be <br />corrected within 30 dans 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 (IR) or Continuation Form, or <br />disputes to any violations, are to be submitted using this certification and returned to EHD within 60 days <br />unless otherwise specified in the IR. <br />For this certification to be COImplete 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: April 19, 2006 <br />Facility Address: Corral Hollow Road, Tra <br />I certify under penalty of law that: <br />, CA )Epi, ZD#: 2890090002 <br />1. I 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 true, accurate, and complete: <br />Photos x Paperwork Statement <br />3. I am authorized to submit this certification on behalf of the Respondent. <br />4.. I am aware that there are significant penalties for submitting false information, including the <br />possibility of a fine and/or imprisonment for known violations. (HSC 25191). <br />Name: Albert L. Lamarre <br />Title: Acting Department Head, <br />W--flt <br />Environmental Protection Dept, <br />SignaMre: ,' I r�l 1-16t" 4-1111 e Date: 5/ (7 ) 06 <br />EHD 22-02-005 Rev 12-04 <br />my <br />