Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR uialellana holed inthe'Noere to CorrhW In the attached I-pe lion Report mill pc mrrv.Md within 30 dans of <br /> receipt ul'.hb inspecbm. Ttia oari4caton Form mustbe a m4ted 6o-aha Emnrnnmental Health f�epartrcent[EHO)atlCre�S.k <br /> 11,boihrni&&lin kx i within 36days of reoepl of the Inet_ttclioi�Repoli. L.SC 25404.4.7{rxl) <br /> All C.S+'BCIbaB to Mhar r101alldrla roles Ir t7a e75[i5e[I In30e0110^Rapr1{f RJ dr COntnuaaOn Foran.of rlixpotna h any <br /> vi"lions,are D5 be itubmitlK 1:3nquiiBcar11fnedim'.and Wumad to LHU milhIn Jvdayr.unNae xrperume ejs OrkY1 1'•Ihr.. <br /> InspEcal n Report HSG 251st rVi <br /> Nate: All EHD ataff time associated with failing to comply by the above noted dams wiir be <br /> billed at the currant hourly rate. <br /> For thm oertitication to be complete,theoperata,Dfthe efte muetindude: <br /> A a��n>e+t dxunerni 7�+hatca--acl�re aMn•�[.,sr,e taken o-r wal be laden FC•aa4'+violBliary <br /> Capias;rl syrnNq reanits MteniRSlNhelni�record Wolher AJThmpriaie papeve[rk,anrd'nr pllahsverrfymp Gprlet7l:rle <br /> dperalO'B D�dlCei)nn <br /> Inspection Date: May 24.2019 Inspected Bar. tLIANNA FLOPIDI) <br /> Faclllty Address: 7259 WYas_emite Ave Manteca CERS ID: 1IMC16251 <br /> f certify finder pehahp 4E law that: <br /> 1. i have=,ecthc the vi,.la&c&apecified n:he Inapedlimm Reptn Imm the abrne-m .honed inamoliOn c ala. <br /> c. 1 have paraone ly exerninod the fol 3w q dr)mft[ Melia suombW as proof N r pliame FOR EACH VIOLATION and <br /> 110mik"thio.ftfomiidim i to be tr.9,Scar rata.and c*44plela <br /> Photos `r Pepervlo•k V Slaternent <br /> 5 'a.,an1"zed:.guBrnd fill car MA11On On L.P.hilLuraxr R[?r{;iin:Jenl. <br /> 4. 1 tiin Brl Ara MCI!iene are al aikam pene111e3 for subrnit[ieg false nkmlalion.Indueilg 1hp prmsihiliiy ora fiche arwfur <br /> 1T0aonmwIfurkr,Dwrk v Wdc-m. (HS0 25191) <br /> NEune; _ CAIti�l Y(ll;itTitle f r�- d. <br /> - <br /> Signature: Dater f <br /> r <br /> E t <br /> IEEE E.hP2eton Ave I Soddor,CJi-€mia 9S2L�I T 2C9 AGO-MMI F 20F14E4-111:.1+. I wxw'h1c�d::tarts <br /> July 24,2019 pg.3 <br />