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PUBLI EALTH SE CES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />EMEUe., <br />ujimoto, M.D., M.P.H., Actin; Health Officer <br />L... 3rd Floor • P. O. Box 388 • Stockton, CA 95201-0388 <br />MAR 011996 209/468-3420 <br />ENVIRONMENTAL HEALTH <br />PERMIT/ SERVICES CERTIFICATION OF RETURN TO COMPLIANCE <br />In the matter of the Violation(s) cited on DE C . 2 7 19 9 5 <br />66265.32(B) (CCR),66265.34 (C�CR),66265.52 (CCR) <br />As Identified in the Inspection Report dated 1 2 _ p 7 _ g5 <br />Conducted by PUBLIC HEALTH SERVICES ENVIR. DIVISON (agency or agencies) <br />I certify under penalty of law that: <br />1. Respondent has corrected the violations specified in the notice of violation cited <br />above. <br />2. 1 have personally examined any documentation attached to the certification to <br />establish that the violations have been corrected. <br />3. Based on my examination of the attached documentation and inquiry of the <br />individuals who prepared or obtained it, I believe that the information is true, <br />accurate, and complete. <br />4. 1 am authorized to file this certification on behalf of the Respondent. <br />5. 1 am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. <br />HARVEY M. LINCOLN MATREALS EXAMINER & IDENTIFER <br />Name (Print or Type) Title <br />QA 1 MARCH 1996 <br />Sig ature Date Signed <br />STOCKTON COMBINED SUPPORT MAINTANCE SHOP CA6572890519 <br />Company Name EPA ID. Number <br />A Division of San Joaquin County Health Care Services <br />