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'0 <br />............ <br />:4 21111] Z4 '! 11 ](410411 �� I I <br />71! I fl <br />11,7 <br />M7, <br />/'-, [ " '1 2 5 2 0 '1 -) <br />ENVIRON <br />Note: AN EHD staft time associated with failing to comply by,#w abovs noted dates will be <br />billed at the current hourly rate. <br />For this certification to be complete,ft 0PeMt0r Of the aft must irdude: <br />A statenient doctvrledr a. what coffective, actions were taken or will be taken for each violation <br />COPM of SMVL% fesutWmardestsftaining recordsk1her appropriate papenNod� and/or photos ven(ymg corrections <br />Iftwcuon Date.- March 30, 2017 inspected By: AARON HANG <br />Facility Address: 14971 N HVVY 88, LODI <br />I certify under penalty of laWthat <br />1. 1 have cormded." violatiorm Spedfied in UM ihspecdon Repwt tom to above-mentioned inspection dais. <br />2. 1 ham personaffy Okanvned the lbilovoing documerdation submMed as PMof of compliance FOR EACI-1 VKXATION and <br />I befieve the inkrmation to be Um, accurate, and complete: <br />Photos -Pmwwork --�_fttement <br />.3. 1 am authorized to iubmit this certffication on behalf of the Respondent. <br />A 1 am awam that #*e are sigrifficant penaffw for sulswIft false intonyown, including the po"bilily of a fine and/or <br />imprisonnumt for known Violations. (HSC2519i) <br />Name-... �Rj 194VI., Sop* YkAft" <br />Signaturef <br />ZOO/ ZOO*d LZ60# <br />I E" LTH <br />IF i`jl` E I, "'�T <br />TF99ttSEGOZ LE:ZT LTOZ/SZ/tO <br />