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I"n A()aqU4-1 C-Oiin. <br /> A- —ihjrID --- -----1 <br /> HA'j:Ir'-. A <br /> reninim rif flrkj-!� <br /> X Subiniate-Li Lij iiitj ninaikii uepAmment k1::rIL?i <br /> Pif-IAIOIL i t-LAMI _U011 IUMI MWSI I) <br /> OT iniST <br /> at the to L vidnin 30 days ot rece-!pI of the inspection i4e-pori. 1-1 Z., U14.i.1-i Gil <br /> M-- <br /> viulatlor.2-1 We TO SkII-11 I HUU-Li -S Cer. CaLlon;m 'D within 313 days u-'--- C 1�1 I e ad 1-i t h e <br /> H I C.r6 TU 1-n k--G T u- CAM -Al IUIUVI-15��z"., <br /> AA- <br /> BA Arpa 1�L 1 ;:;4r; iq�;aff-Timq <br /> M <br /> Me— OM T a 1 H FI:Fq M <br /> Y <br /> .1611- <br /> A st tRM-Prit 040--tiMi"e-MI-1a. 01 ci-A-1-0-Clivin tAKI U i'dirl"I Eji '-'Vlfl <br /> "ip'-'jili7ill i7lrvi.i 1 .M ji? <br /> =ZZA Ll Wi iK CITV-xiiits- <br /> January 29, 2015 FATINAH ZAREEF <br /> Fac- itAsia-dress: 2908 W BENJAMIN HOLT DR, STOCKTON <br /> 1 LC!t€4 under Penalty ol ICIWV Mal. <br /> IUWi:; CO- cte"filp V;ol;�fions soecified in the inspection Report born the above-mentioned inspection date, <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR E-ACH VIOLAT 101,11 <br /> and 1 believe the information to betrue, aaccurMe, and comnl-,,t---- <br /> Photos Papervvo'M btatement <br /> .1 --rn A�jthonzpi-1 ici sLfl-rriii �his cerh' <br /> t hc.at on on behall <br /> s- f the RF�Ispondent. <br /> 4. i am <br /> -3, ware th-th-n- zlre significant penalties for submitting false information, including the possibility of afine <br /> AC <br /> Lid f=--. <br />