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_4 Z; <br /> A , i r u <br /> -- ., r' r <br /> v i ro n in.e n 4,a i 1-1e, a,t n <br /> A 0`U I AL, a. rt rn en <br /> U <br /> RETURN TO COMPLIANCE TIFICATION <br /> Any MINOR violations noted in the"Notice to Comply' in the attached Inspection Report must be corrected within 30 day <br /> L of <br /> receipt of this inspection. If his 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 /> i <br /> All corrections to other violations noted in the attached Inspection Report JR) or Continuation Form, or disputes to any <br /> violations. are to be SUbmitted using this certification and returned to EHD within 30...d-a­VS Unless otherviise specified in the <br /> Inspet-Itiori Repoil, HSC 25181(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 cerfificaLlon to be complete, the operator of the site must, include-, <br /> anting.what rorrectiv­- t <br /> A statement docuime 1 1.." j e-actions were taka-n or will be taken for each violation <br /> C <br /> copies of sample r-es u Its Irian Ifests'train i nq -eCordsrother appropriate paperwork, and/or photos verifyingcorrections <br /> Operator',,;cer-tiflnatioll <br /> Inspection Date: December 26, 2018 Inspected By: ROBERT LOPEZ <br /> Facility Address: 1025 RUNWAY DR, STOCK-TON CERS ID: 10187181 <br /> I (,�ertifs. <br /> t_jnder tie ncalty of law that: <br /> A corrected th--v*o1a' specified in the Inspect'on Repo�l froin! the above-mentioned date, <br /> I I fave cai I Liolls I i I L <br /> I have personally examined the following documentation submitted as proof of compliance FOR LEACH VIOLATION <br /> and I believe the 'nfof-maion tc be true. a-curate. and -ompketg--, <br /> ____Ph0t0s x Paperwork_—Statement <br /> 1 1 Cam authorized to submit this certification on behalf of the Respondent. <br /> Al. l ?,,m rawat-e-that there are sianjficant penalties for SUbmitting false information, including the possibility of a fine and/c <br /> imprisonment for known violations. (.HSC 25191.) <br /> Nan-ie-. Neal Beaty Environmental Compliance Manager <br /> SignatUt-e.- Date: 1/12/19 <br /> 1568 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464­0138 1 wvrwsjcehd,com <br />