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RECEIPT OF DELIVERY � E ii li,�L DD <br /> MAR 0 rt 2007 <br /> ENVIRONMENT HEALT H <br /> THE DOCUMENTS PERMIT/SER%/10ES <br /> ■ Statement of Corrective Action detailing completion of Items #19, 20, 21, <br /> 48 and 91 from the Official Inspection Record given to the J.R. Simplot <br /> Company, Lathrop Plant as a result of an inspection by Mr. Ray Von Flue <br /> on January 30, 2007. <br /> o Copy of Waste Manifest for disposal of paint thinner- Item#19 <br /> o Copy of Waste Manifest for disposal of anti-freeze-Item#19 <br /> o Copy of Waste Manifest for disposal of corroded barrel with paint thinner <br /> sludge- Item#19 <br /> a Copy of receipt from vendor for proper disposal of empty barrels- Item # <br /> 91 <br /> ■ Signed "Return to Compliance Certification" related to completion of those <br /> minor violation mentioned above <br /> PREPARED BY THE J.R. SIMPLOT COMPANY <br /> WAS DELIVERED TO: <br /> Mr. Ray Von Flue <br /> Senior Registered Environmental Health Specialist <br /> San Joaquin County, Environmental Health Department <br /> DATE <br /> February 2, 2007 <br /> RECEIVED at San Joaquin County Environmental Health Department <br /> Signature: <br /> Date: <br />