Laserfiche WebLink
Oct 05 2016 17:11 HP Fax page 1 <br /> ARE INED <br /> San Joaquin County JUN 08 2011 —4_ <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton. California 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www sicov org/entl;NMENTAL HEALTH <br /> EPARTMENT <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations noted in the "Notice to Comply" in the attached Inspection Report must be corrected within 30 day$of <br /> receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD)address <br /> at the top of this form within 30 days of receipt of the Inspection Report. HSC 25404.1.2(c)(1) <br /> All corrections to othe,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 EHD within 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 results/manifests/training records/other appropriate paperwork, and/or photos verifying corrections <br /> Inspection Date: June 08, 2017 Inspected By: STACY RIVERA <br /> Facility Address: 140 E LATHROP RD, LATHROP EPA ID: <br /> I certify under penalty of law that: <br /> 1. I 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 VIOLATION <br /> and I believe the information to be true, accurate, and complete: <br /> __Photos—7y—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 and/ <br /> imprisonment for known violations. (HSC 25191) <br /> Name: n�1 L '` C ' Title: <br /> Signature: Date: Urd ` I <br /> FA0006�`13 <br /> �2�sIBs� 1 <br />