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07/02/2008 10:50 FAX 9162857410 TOWER ENERGY /6002/002 <br /> SAN JOAQUIN COUNTY <br /> CNVIRONMENTALHEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,CA 95202.3029 <br /> Telephone:(209)468-3420 F=(209)468-3433 Web:www.sigov.ore/ebd <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 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 retuned to EHD withiti'30 days <br /> unless otherwise specified in the Inspection Report. <br /> Mote: All EHD staff time associated with falling to comply by the above noted dates will be billed at <br /> the current hourly rate ($911). <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 :ach 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: t 3/C ep` Inspected By: C,e����,r <br /> Facility Address:_ N o ao /,, H A,,y g 8 EPA ID#: CAL- ®(dV32�� <br /> / x*K,9aAW C/� ai i-7 7 <br /> I certify under penalty of law that: <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 rl Paperwork tl Statement <br /> 3. lam authorized to submit this certification on behalf of the Respondent. <br /> 4. lam aware that there are significant penalties for submitting false infortuation, including the <br /> possibility of a fine and/or imprisonment for known violations. (HSC 25191) <br /> Name: Z/ 4 CAIILOOZ ��'/L Title: <br /> Signature: / -/f' �--, /�-- Date: �1//557 <br /> EHD 22-02-005 Rev 11/07 <br />