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Oct 28 10 11:59a Honker Cut Marine Karnof 209-476- p.1 <br /> SAN JOAQUIN COUNTY OCT 2 8 <br /> •�'-'sayi" <br /> ENVIRONMENTAL HEALTH DEPARTMENT 2010 <br /> 600 East Main Street Stockton,CA 95202-3029q <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:wwws' ov,orWeWd -E+;,,.'; <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 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 correto ctions to other violations noted in the attached Inspection Report(IR)or Continuation Form,or <br /> dispputes cr any violations,are to submitted using this certificazton and renuved to EHD within 30 days <br /> unless othenvrse specified in the Inspection Report. <br /> Note: All EHD staff time associated with failing to comply by the above noted dates will be bided at <br /> the current hourly rate($ <br /> i22). <br /> FOl this CeItIflCBtlOri t0 be COmrlete the operator of the site must include: <br /> • A statement docmnentingg what corrective actions were taken or will be taken for each violation <br /> • Copies of sample resultslmanifests/training records/other appropriate paperwork,and/or photos <br /> venfying corrections <br /> • Operator's certification <br /> Inspection Date: September 27, 2010 Inspected By: Garrett Backus <br /> Facility Address: 11500 W Eight Mile Road EPA ID#: CAL000252895 <br /> I certify under penalty of law that: <br /> I. I have corrected the violations specified in the htspection 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—paperwork—AL—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 <br /> possibility of a fine <br /> /and/or imprisonment for known violations.(HSC 25191) <br /> Name: Title: <br /> Signature: %7id7 Date: d <br /> EHD 22-02-005 Rev 08/10 <br />