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08-14-07 , 10:33am From-TAIT ENVIRO TAL 714-560-8237 Mllh T-418 P.04/05 F-164 <br /> SAN JOAQUIIN COUM <br /> ENVIRONMENTAL HFAM DEPARTMENT <br /> 600 Fast Main S Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 WW 2Ww.aj ov. chd <br /> RETURNTO COMPLIANCE TI C O <br /> Any MINOR violations noted in the"Notice to Comply"in the attached inspection report must be <br /> co IIW_e_d within 30 dw of receipt of this inspection. This certification form roust be submitted to the <br /> Environmental Health Department( )address at the top of this form within 35 days of receipt of the <br /> inspection report. Permit application was submitted on 7/13/2007 , <br /> An MRP will be sent to you when the work is complete <br /> All corn 'ons to other violations noted in the attached Inspection Report(1 R)or Continuation Form,or <br /> disputes to any violations,are to be submitted using this certification and returned to EHD within 60 days <br /> unless otherwise specified in the IR. <br /> For this certification t0 be Complete the operator of the site must include: <br /> • A statement documenting what corrective actions were taken or will be taken for each violation <br /> + Copies of sample results/manifests/training records/other appropriate paperwork,and/or photos <br /> verifying corrections <br /> + Operator's certification <br /> Inspection Date: 7/5Z,07 Inspected By: Toua 'Y'ang <br /> Facility Address: 124 west Elm St . & Lodi EPA W CAT080029184 <br /> I certify under penalty of law that: <br /> I. 1 have corrected the violations specified in the Inspection Report from the above-mentioned <br /> inspection date. <br /> 2. I have personally examined the following documentation submitted as proof of compliance FOR <br /> EACH VIOLATION and I believe the information to be true, accurate, and complete: <br /> Photos Paperwork Statement <br /> 3. I am authorized to submit this certification on behalf of the Respondent. <br /> 4. 1 am aware that there are significant penalties for submitting false information,including the <br /> possibility of a fine and/or imprisonment for known violations.(HSC 25191) <br /> Name: Brian Harmon Title: Comp.1 iance Manager <br /> h <br /> Signature: Date: 8/13/07 <br /> EHD 22-02-005 Rev 05/07 <br />