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SAN JOAQUIN COUNTY <br />EWRONMENTAL HEALTH DEPARTMENT <br />600 East Main S ton, CA 95202 -Mg <br />Tefep.`sone. (209) 488-3420 Fox. (200) 488-3433 Webs WMjjgWqMWA <br />tt l • ► • - • c • : a �cl • • •• � c c rtc s � •cam • _.• a •_ <br />f: 11-n:�: 1 •:.-.; • _.•: • .:•::: .V : rc. : ♦: • : •:. • :'._.• • r:_,: <br />unless otherwise specified In the Inspection Report. <br />Note: All EHis staff time associated r.,., failing to comply by t . • z:• u r', dates vrill be <br />billed at the current hourly irate. <br />For • to •;'complete the operator of Me site mustInclude: <br />• A statement documenting what convctive actions Wom taken or will be taken for each violation <br />• Copies of sample results/manifests/tralning recordslother appropriate paperwork, andfor photi: <br />vedyng <br />int.: r G <br />Inspection Date: 3, Z6 / (3 Inspected By: Ae i's C-4 <br />• r1 <br />underpenalty <br />1. 1 have corrected the violations specilled in the Inspedlon Report from theabove-mentioned <br />Inspection date <br />_Photos2. 1 have personally examined the folloWng documentation submitted as proof of compliance FOR <br />EACH NAOLA11ON and I believe theiinformatloff to be true, smurate, and complete: <br />:: .: •,--L��Statement <br />Tile: hJ ® `- may a. 1q4"A r <br />r <br />