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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E. Main St., Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.sjgov.or ehd <br />R,,By 110 M r ; <br />Any MINOR violations noted in the "Notice to Comply" in the attached Inspection Report must be <br />corrected within 30 dans of receipt of this inspection. This certification form must be submitted to the <br />Environmental Health Department (EHD) address at the top of this form within 35 days of receipt of the <br />Inspection Report. <br />All corrections to other violations noted in the attached Inspection Report or Continuation Form, or <br />disputes to any violations, are to be submitted using this certification and retumed.to EHD within 30 days <br />unless otherwise specified in the Inspection Report. <br />Note: All IEUD staff time associated with failing to comply by the above noted dates will be billed at <br />the current hourly rate ($115). <br />For 1his Certification t® 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: 7i l (- <br />Facility Address: V1110 1'110,w <br />4X1 <br />I certify under penalty of law that: <br />Inspected.a err. iii <br />L i ','. C012 0 ~ <br />1. I 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 convq&49 <br />EACH VIOLATION and I believe the information to be true, accurate, and complete: <br />OCT P 2 013 <br />_Photos Paperwork `& .Statement <br />ENVIRONMEN <br />3. I am authorized to submit this certification on behalf of the Respondent. HEALTH DEPAqTME <br />4. I 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 2519 1) <br />Name: N 0-/k -dkl . Title: <br />Date: <br />EHD 22-02-005 Rev 10-07 <br />W. <br />