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09/08/2006 10 29 FAX 209 942 2182 INTERSTATE TRUCK CENTER 009/008 <br /> 0 0 <br /> SAN JOAQ1.41N COUN'ry <br /> ENVIRONMENTAL,I'1EaAI.:11i l I'PAft'1'MENT <br /> 304} ,, Wcher Avinnic,3"'I'loor.Slov..k(on,(A 95202-2708 <br /> !d phoot>:(2(14))408-3420 1r'ar:(209)468,34.33 lVeb:www_jg(1 ;ort;,SNi <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any h INQRR Violations doted in the;"Notice to Comply" in the attached inspection sport must be <br /> cC1l7eCtC(1 wtlllllt .;{) lbl-Y-S Of receipt Of this inspection. This certification form must be $ubmlttQd to the <br /> r-I'rlvironmental Health Departntcllt(H111_13) address at the; toll ofthis fbi-m within 35 days of receipt of the <br /> ixlspCctioat report, <br /> All correction,,;to other viola ignst>uted i�1 t11c attached Inspection Report (IR)01,C 0 111ititzatinn I~'orn1., or <br /> _ . <br /> disputes to <my violations, are to be stEbttlltte(l using this certificatiotl and returned to MAD within <br /> t9nless othESmise speelfieel in the I.R. <br /> For this certification to be Complete the operator of the site must include: <br /> • A statement documentittg what corrective actions were:taken or will be taken for each violation <br /> • <br /> Copies of sanEple rc;sults/nl.anife:sts/training;records/other appropriate;paperwork, Anel/or photos <br /> verifying corrections <br /> • Operator's certification <br /> Inspection Date: �� <br /> �' ) Irtspcctcd By; <br /> Facility Address: NSU tom -_ EPA Iii#!: <br /> I certify tinier penalty of law that: <br /> 1, f have:eori-ceted the violations sp7c ified in the Inspection Deport front tide above-mentioned <br /> inspoetion elate. <br /> 1! <br /> 2. 1 bave personally examined the following documentation submitted as proof of compllancQ. OR. <br /> EACH. VIOLATION and I believe the inforillation to be true, accurate, and conlplctc. <br /> _.._ -_.Photns_. _. I'apcnvork _ -,,,�ttitelticnl <br /> 3. 1 pint authorized to sul'rllit this =1ification vn behalf of the Respondent, <br /> 4. lain aware that there are significant perlallties for Submitting falsu information, including Elle <br /> possibility ofa fine and/or imprisonnlenl for known violations. {11SC' ?51�t1) <br /> Name: , Title: lb <br /> Si e <br /> ic~: <br /> EHD 22-02-005 Rcv 12-04 <br />