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Ir?"UBLICOHEALTH SERACES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEAL111 W"SION <br />Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br />304 E.Weber Ave., 3rd Floor e P. O. Box 388 9 Stockton, CA 95201-0388 <br />209/468-3420 <br />•5 it I IMMUNTel 7, M Ill <br />In the matter of the Violation(s) cited on a-7- 9s' <br />As Identified in the Inspection Report dated /-Z -.2-7 - 51i;" <br />Conducted by agency or agencies) <br />Respondent has corrected the violations specified in the notice of violation cite,.'$ <br />above. <br />2. 1 have personally examined any documentation attached to the certification to <br />establish that the violations have been corrected. <br />3. Based on my examination of the attached documentation and inquiry of the <br />individuals -,who prepared or obtained it, I believe that the information is true, <br />accurate, and complete. <br />111. 1 am authorized to file this certification on behalf of the Respondent. <br />5. 1 am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. <br />LZlx� /�1,-t/ , <br />Name (Print or Type) Title <br />Signature Date/8igned <br />OPM <br />WI <br />Company Name EPA ID. Number <br />A Division of Son Joaquin County Health Care Services <br />