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rr <br />I'M7471310ful <br />Any MINO violations noted In the Notim to CdMW in attached Irmpecdon Repon muM be <br />coffected within 30 dW of mcWof this =1 -f`bis, bi�n form rnust be wWgftd to the <br />EmAwrnental H"Ith Department (EHD) 6W of Vft femm vAtW 30 days of receipt of the <br />Inspection Report <br />All or vloWfim noted In the iflaichitti6apection Report (IR) or Contimation FOM or <br />disputes to any Violatiorts, are to be SUbMW8d.UskV this 6wWwation aM rebmnW to EHD MgMAVAM <br />unimmaptherwise, speciflied in the Inspection Ripoif <br />billed at the cun*M hourly rat& <br />For this certification to be coMoletd the operator or I: rmst Inckide: <br />• A stalwnent documenting what corrective ac ildims w" taken or will be taken for each vicIation <br />• Copies of sairiple resultaftnandissialtraining appropriate PaWwork, enWor photo& <br />ve" correctIons <br />• operatces, cercation <br />inspection Daft- Jrt vi 2- -7 , -2 C I e, <br />FaaftY Addiness.- Ll 3 3 FpA sw C 4 t— 0 C)O 7 <br />1 cartity under penalty of low that <br />I- I how corrected w specifted in'" "n Reporttromthsat�� <br />inspection date. <br />2. 1 how parsonsoy exeinined the loWwIng docuwmSuIx"Mod as proof of corvollanoa Fj?,; <br />EACH VXXATION and I I= 6e tnue, acctrate, and cornpletw, <br />_MOUS P`O&Work V.MaWnwt <br />=1, T. �., - 70 <br />9�1� <br />