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SAN JOAQUIN COUNTY <br />fNVIRONMENTAL HEALTH DEPARTMENT <br />600 E. Main St., Stockton, CA 95202-3029 <br />10 1 111111 !1 11:111 J11 11rapitlyViti I <br />awn i i ANIN V <br />7 7 <br />73T <br />inspection report. <br />unless otherwise specified in the IR. <br />For this certification to be completethe 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: 111 <br />L-CZ--x- <br />Facility Address: CA <br />Inspected By: Ar;!& �_a( Q, 0. <br />EPA 113#:CA�j <br />1. 1 have corrected the violations specified in the Inspection Report from the above-mentioned <br />inspection date. <br />Photos Paperwork 4 Statement <br />Titl <br />Nam, <br />61 <br />INSH 0 . <br />