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07/24/2015 13:46 2053408652 LDDI HONDA PAGE 61 <br /> A <br /> AV. <br /> Sen Joaquin County RECEIVED C --.,- i a <br /> Environrrtental Health Department -:> s> <br /> 1868 Eas-Hazelton Avenue, Stockton,California 95205-6232 <br /> G 4 Telephone:(2099 468-3420 Fax:(209)468-3.433 Web:Mony.sMoy-orglehd Mr f7ttJ <br /> RET i ro COMPLIANCE + ' TIFI 'ATI N SWIRoNMENTALHEALTH <br /> PERMITISERVICES <br /> any,MIN violatiorts noted in the"Notic e.to Comply"In the attached Inspection Report must be corrected +ithin 30 days of <br /> receipt of this anspectiom This certification form must be submitted to the Environmental Health Department(EHD)address; <br /> the top:offhi's'form within 30 days of recriipt of the1nspection Report. FISC 25404.1.2(c)(1) <br /> All',c_0rrecfio.,' a o eryio[ Ij rioted i i the attached inspection Report(IR)or Continuation Form,'or Itis;ales t�any <br /> violations,areto be submitted usingthis certification and returned to EHD within 30 days unless otic <br /> Irispection Report: HSC 25185(c)(3) <br /> Nate:. : :All EHGt staff thine associated with failing to coinply by the above noted dates will he <br /> billed et'.too..coffent houl,ly rate. <br /> Foe"#h[S:cortlfiCdbn to N? complete, the operator of the site must include: <br /> Astatement docurrienting what-orrective actions were taken or will be taken for each violation <br /> Copies of sample results/manif'ists/training records/other appropriate paperwork, and/or phoi PIP 0M 4 810 <br /> Inspection 05tte - Jttnie 24, 20' 5 Inspected By. ARIS '•,..,. <br /> £TS <br /> :Fa`dtlity-A,d.dreass: -17Q0-S CHEROKEE LN, LODI EPA ID <br /> I certify'under penalty of law that: .. <br /> 1: I haVe corrected the violations specified in the Inspection Report from the above-mentioned'mspec ion (late <br /> 2.;. :1.have.personaily examined tha following documentation submitted as proof of compliance FOR EACH Vioi_Ai ION <br /> I.befieve the'informatiorl to be'.rue,.accurate, and complete: <br /> Photos. Paperwork Statement <br /> 3, t;am aufhorized to.submit this certification on behalf of the Respondent. <br /> 4. la'il aware that.there are significant penalties for submittOg false information, including <br /> imprisonment for known violat ons. (HSC 25191) ai <br /> _ Title:�'i <br /> Flame: --_--- 11 <br /> S'ignature: . <br /> Date: �� f <br /> t, <br /> AECEIVEL <br /> JUL 2 4. 2015 <br /> ENV(RONMENTA . <br /> .. rRrTQ nr7411r1Ark.- <br /> Si <br />