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Ermroomental Fil lm Oepandtedl <br /> 1968 Fast Haxetton Avenue, 5topktan, Calhhrnag52g5E232 <br /> Tata biaU k21)l 4aa342a Far_(209)d 0 3433 Wi auras.gworTlehd <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Ady MINOR wiolatws poled n Me'k1l b Comply'in the altdched Inspection Report must be kknom ir4 within dal nd <br /> receiptef this h dill t. This k a ifica k n loom must M suhon'rcea to the Emirmrnenlal Heatlh namillab l(ENO)addreae <br /> ae by of Mk lone wMm 3g days of rereiplMMalnspeUion Report. H9C254g/.1.2(c)(i( <br /> PUlbaoi am In be suwexfmxnptetl in thecnfiootlInspection Re pan(IRIa 30 day unl Fond.ab opmbarty <br /> reteMns,are h be auhmlBad us,rg Adis oartlaralipn and mlulrt®'1 Ip END wilM1m 3n rlara unless o[henwise specified in Me <br /> li,00bcocnReport HSG25135l <br /> Note: All ENO staff time associated with falling to comply by the above nuled dales will 6e Lida[ <br /> a[the oumeni hourly rate. <br /> Forthis certification to be complete, theppwahrpttheiia InAtIdClua9. <br /> A statement dammiii venal comechve acnpns were taken or will he taken for earJt violation <br /> Cwies of sample resuthlmanifeaha@nin9 @cerdsfother appropriate bap rli,ontlbr photo verifying comebacks, <br /> oparalar'c <br /> Inspecteen Oate: Navenoth ,2019 Inspected By: Cesar Ruvaitaba <br /> Facility Address: 143013RORERTSH❑ CERS ID: 10188361 <br /> I oarlify antler penalty of Ill - <br /> 1. I heree connected vie vlolallpla epedhed In the I nspt ion Repud from Me ahove-menlioned Nbip bl dale. <br /> 2. I have make ly entmined the Tsllmwng bowmenlatipn submitted as pmol of compliance FOR EACH VIOLATION t <br /> I believe to InfermBdal b W the,BCG@le,and pemplete: <br /> _Phplp9 jp'apefWCrk �temedt <br /> 3. lon"'io7th� <br /> It Mas certficeEionon behalf ttf me Reapmdent <br /> 4- lam Baana9nifi perwltiea ter oulnn'raa1911Na91nbmtdhin, Irtcluplrtp Me hank ihiMfd a fire andforgleuans IHSC 251911 <br /> Name: � � T'u <br /> r <br /> 11111 A6111 <br />