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RECEIVED <br /> JUL 2 3 2013 <br /> ENVIRONMENTAL HEALTIq DEPARTMENT <br /> law EagHaw*mmmm,Swd*m,cwffomia 9 o&m2 ENVIRONMENTAL <br /> TOAWhow.(209)468-3420 Fax:(209)4WW3 Web.,nM&Wv.Wehg HEALTH DEPARTMENT <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR Violations noted in the'Notice to Comply"in the aftwIted Inspection Report must be <br /> corrected wither 3-0 of receipt of this inspection- This cerbkvdm form must be submitted to the <br /> Environmental Health Department(EHD)address at ft top of this form within 30 days of receipt of the <br /> Inspection Report. HSC 26404.1.2(c)(1) <br /> All g2mo=to other Ago=noted in the attached Inspection Report(IR)or Continuation Form,or <br /> & to any violations,are to be submitted using this certiffication and returned to EHD within 30 dans <br /> unless otherwise specified in the inspection ReporL HSC 25185(c)(3) <br /> Note: All EHD staff time associated with failing to comply by the above noted dates will be <br /> billed at the currient hourly rate. <br /> ForAhis certification to be complete the operator of the site must include: <br /> * A staternimit documenting what corrective actions were taken or will be taken I&each violation <br /> * Coples,of sample rewWrrianifests/Waink tg rewfda/bOw q*ff0PrWe paperwork,and/or plu>tos <br /> vedlying corrections <br /> Operators certification <br /> Inspection Dw*-.June 24, 2013 Inspected BY:Elena Manzo <br /> Facility Addmw-,.1301 W. Ketfleman Ln, Lodi EPA ID#: 0A I mo 32-74000Y- <br /> I cedify under penft of law tot <br /> 1 1 have corrected the violations spedfod in the inspection Rqx-A from ft 4mve-merftned <br /> inspection date. <br /> 2 1 haw personally exarrined the k4owing documentation submitted asyroof of complma>--FOR <br /> EACH VIOLATION and I ' n be true,accuraW"and complete: <br /> FIxAos aperwo* LZSWement <br /> am <br /> to Submit#ft cerffication on behalf of the Respondent <br /> 4. 1 am amTa"M tthwe fficant penalties for sub mMkQ IWW inkmMon,Including the <br /> a fne and/br' wnrneft for W10wn viblafions. (H-S-C 25191) <br /> 6L <br /> Name: Title_ <br /> Su Date: <br /> V <br /> EMD 221920M Rev 0V1W12 <br /> 900/ 1001a OSZG# te9vtU60Z tv:ol ETOZ/SZ/LO <br />