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Jul 24 15 01 : 04p Lodi Honda 209 334 6632 209 "73 2613 p, 7 <br /> RECD JUL 2 4 2015 AV <br /> San Joaquin County ��'— <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue,Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd JUL 17 2015 <br /> RETURN TO COMPLIANCE CERTIFICATION 11:NVIRONMENTALEALTH <br /> PERM171SERVICES <br /> Any MINOR violations noted in the"Notice to CompV'in the attached Inspection Report must be corrected within 30 days of <br /> receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD)address; <br /> the top of this form within 30 days of receipt of the Inspection Report. HSC 25404.1.2(c)(1) <br /> All corrections to other violations noted in the attached Inspection Report(IR)or Continuation Form, or disputes to any <br /> violations,are to be.submitted using this certification and returned to EHD y,1+•thin 30 days unless otherwise specified in the <br /> Inspection Report. HSC 25185(c)(3) <br /> (dote: AILEHD staff.time associated with failing to comply by the above noted dates will be <br /> billed at the current hourly rate. <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 each violation <br /> Copies of sample results/manifests/training records/other appropriate paperwork, and/or photos verifying corrections <br /> Inspection Date.: 'June,24, 2015 Inspected By: ARIS VELOSO <br /> Facility Address: 1700 S CHEROKEE LN, LODI EPA 1D: <br /> I certify under penalty of law that: <br /> I have corrected the violations specified in the Inspection Report from the above-mentioned inspection date. <br /> 2. I have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> I believe the information to be true,accurate, and complete: <br /> Photon Paperwork Statement <br /> 3. I am authorized to submit'this certification on behalf of the Respondent. <br /> 4. 1 am aware that there are significant penalties for submitting false information, including the possibility of a fine and/ <br /> imprisonment for known violations. (HSC 25191) <br /> Name: Title: <br /> Signature: Date: <br />