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s <br /> SAN JOAQWN COUNTY <br /> T )4 .( jVWehd <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any E Inspection Report mud be <br /> this _,y+ <br /> ire 30 days of receipt of the <br /> Inspection Report HSC .1. ( 1) <br /> AN ggMGDM to odw violations noted in the anadied hapechon Report OR)or Cor%finuation Fonn,or <br /> unless otherwise specified in the Inspection Report HSC 25185(cX3) <br /> Note. AN EHD shdf thm assodaftd wdh fafling to eamply by the above noted dates wig be <br /> Wed at the awreirst houdy rate. <br /> For this certification to be complete the operaw of the site must r <br /> * A stalernent doutirnenting what corrective actions were taloen or wiH be Uken for each violatim <br /> verifying corrudkois <br /> a CoperaWs certification <br /> limpecdon Date: C / / .Macy Rivem <br /> Facifty Address: / O000 q0-73 <br /> t <br /> 9. E haw comcfed the violations qmAW in the Inspection Reportfrorn the atme-nmkined <br /> inspection date- 4- T-ij+j <br /> Z E hwe personally exarnined the ftAowirQFOR <br /> EACH VKYLATION and E beWw#10 hionflShOn , <br /> i <br /> 3. E am atd=ized to sub-nit this MtkatiOn On betwK of the ResporideM <br /> 4_ E afn aware ffigit there are so0cant penalties for m6wiffittg labe infixffwbon.kjd�the <br /> andfor irnprisonnient <br /> / 199) <br /> fn A <br /> Nam: J�/7 ket., Tft^ jg'L4& fte-,r- <br /> MIAMI It 3 <br /> '11 <br />