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Jul 30 18 11 : 44a Ron 's Auto Service (209 )366 -2214 p . 1 <br /> San Joaquin County RECEIVED <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue , Stockton, Calftn"lla 95205-6232 <br /> Telephone: (los) 468.3420 Fax: (209) 4W3433 Web: MANAWNopatelad J U L 3 0 20113 <br /> RETURN TOCOMPLIANCE CERTIFICATIt9� 1�� ► Izorii� ► eNVNI u 1 ► LALrl ► <br /> DEpAR"fi\ yL' Nh <br /> Any MIN violations noted in the "Notice to Comply' in the attached Inspection Report must be corrected within 30 flags of <br /> receipt of this inspection. This certification form must be submitted to the Environmental Health Department (EHD) address <br /> at the top of this form within 30 days of receipt of the Inspection Report. HSC 25404, 1 ,2 (c)(1 ) <br /> All corrections to other yrlolations noted in the attached Inspection Report (IR) or Continuation Form , or disputes to any <br /> violations, are to be submitter] using this kation and retumed to EHD within 3 ave unless otherwise specified in the <br /> Inspection Report. HSC 25185(c)(3) <br /> Note : All EHD staff time associated with failing to comply by the above noted dates will be <br /> billed at the current hourly rate. <br /> For this certlfica#ion to 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 resuits/manifestsAraining recordslother appropriate paperwork, and/or photos verifying <br /> Corrections <br /> Operator's certification <br /> March 16, 2017 Inspected By ; Stacy Rivera <br /> Inspection Rate ; � <br /> Facility Addresso 26533 N HVVY 99 CERS ID; 10183911 <br /> I certify under penalty of law that: <br /> 1 . 1 have corrected the violations specified in the Inspection Report from the above-merrtioned inspection date. <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> and 1 believe the information to be true, accurate, and complete: <br /> Photos XPaperwork Statement <br /> 3. I am authorized to submit this certification on behalf of the Respondent <br /> 4. 1 am aware that there are significant penalties for submitting false information, including the possibility of a fine <br /> andlor imponment for known violations. (HSC 25191 ) d <br /> Name: <br /> r4sNi Te ter Title:'D <br /> ce 1V1f( 1 > lAt� e L� <br /> Signature: [jktL,� <br /> ©ate : 3 1 <br />