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J&B Body Shop 2`1663771 <br />P1 <br />' Jl. �. 2iJ15 1P,�7iiM Jcaquil Couriy No. 1297 F. � <br />San Joaquin County RECEIVED <br />Environmental Health Department <br />1858 East Hazelton Avenue, Stockton, California 95295-6232 <br />T hone (209) 468-3420 Fax: (709):468-3433 Web: vmw_sjaov.o.^ ra/ehd JUL 0 7 2015 <br />RN TO COMPLIANCE CERTIFICATION ENVIRONMENTAL. <br />'Jr A'-rW r)rC)ADTAAFAIT <br />Any MINaR violations noted the "Notice to Comply' in the attached Inspection Repeft must be corrected within 30 days of <br />receipt of this inspection. Thi certification form must be submitted to the Environmental Health Department (EHD) address; <br />the top of this form wRhin 30 ays of receipt of the Inspection Report. HSC 25404,1,2(c)(1) <br />All corrections to other viafa ' noted in the attached Inspection Report (IR) or Continuation Form, of disputes to any <br />violations, are to be submitted using this certification and returned to EHD within 30 days unless otherwise. specified in 'he <br />Inspection Report. HSC 25185(c)(3) <br />Note: All EHD staff 'me associated with failing to comply by the above noted dates will be <br />billed at the cur nt hourly rate. <br />For this certificati n to be complete, the operator of the site must include: <br />A statement docume ting what corrective actions were taken or will be taken for each violation <br />copies of sample resuttshnanifestshraining recordslother appropriate paperwork, andfor photos verifying corrections <br />Inspection Date: June 03, 2015 Inspected By: EATINAH ZAREEF <br />Facility Address: 22010 COUNTRY CLUB BLVD STOCKTON EPA ID. <br />I certify under penalty of law <br />1. 1 have corrected the �idations specified in the Inspedlon Report from the above-mentioned insnection date - <br />2. 1 have personally amined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br />I believe the Inform on to be true; accurate, and complete: <br />Photos Paperwork ^Statement <br />3. I am authorized to s bmit this certification on be'nalf of the Respondent. <br />4 �arn r at therle are significant penalties for submitting false information. including the possibility of a fine and <br />i nsonment kn iW800m,.-- SC 25791) <br />Name: -- - �- Titl <br />Date: <br />Signature: �Sti`-Q - % `� <br />