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Open violations from May 06. 2014 inspection <br /> San Joaquin County A� IEIVE <br /> Environmental Health Department <br /> GL <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 JUN 15 2015 <br /> Telephone: {209}46$-3420 Fax:{209}468-3433 t+Yeb:www.s,icLov.org/ehd <br /> 'aNVIRONMENTAL. <br /> RETURN TO COMPLIANCE CERTIFICATION �1 .r-A,T._1M_,.),",-„rr1T <br /> Any MINOR violations noted in the"Notice to Comply” 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 within 30 dans unless otherwise specified in the <br /> Inspection Report. HSC 25185(c)(3) <br /> Note: All EHID staff time associated with failing to comply by the above noted dates will be <br /> billed at the current hourly rate. <br /> or 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 /> Operators certification <br /> Y 06, 2014 <br /> May Inspected B <br /> Inspection Date: p y: Elena Manzo <br /> Facility Address: 1405 CALIFORNIA ST EPA ID: <br /> I certify under penalty of law that: <br /> 1. 1 have corrected the violations specified in the Inspection Report from the above-mentioned inspection date. <br /> 2. 1 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 /> Photos Paperwork Y Statement <br /> 3. 1 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/o <br /> imprisonmenkfor known violation (HSC 25191) } <br /> �t��' n <br /> Name _ 1,t G� � 1 --� Title: ( <br />