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Environmental Heafth Department <br /> SANJOANIN <br /> RETURN TO COMPUANCE CERTIFICATION <br /> +anyif 0 vtalataRs meted 16 tl ro'N(Aica la C ofnplV' In the akta ied Inspe V(� n Report rrn.W fie 9%Xled rnr1RAR 30 day& of <br /> receipt of thfs fnspeotrorti. 7h!8 cw6ricar+c n Farm must be submitmd to the F-Twiranfr+5ntef t e�0 073prar' nl(J HD)address at <br /> khe b'Qtkam oflhis fcjrrn wjdtitn 30 days el fa pt014eJpLpracklon Fe+poTt HSC 25404-1 1 <br /> A61 cZrrgd omi tQ njW vloLatJS�ns noted frr(fie a bac hest M peatlntt P oporl�kR)or UrWnuition it oTTn, or disputes it)any <br /> vkOliw}s, are to bF3 subrniltad using this aeMcafion and feWrrred bo EHD k �p-3g s unless otbeT%isa specll`ied in Uve <br /> l sped an Ri ad, HSG 259 M(c)(3) <br /> Nate: Ali ETD staff Vrne a ssoclated Mth falling to carnpIY by the above noted dames Mil be bMad <br /> atho curr6nt V1our)y rato, <br /> For this o r tification to be complete, anter of the saN must lr,uwft. <br /> A s mom dccurnenkirrg what corrective actions wire takan ut wfi?be t*so for aach MakUan <br /> Caples Of SaMP10 resitlta frnanifeskstkraining recordslotber apprOprtate paQenvew, &Few PWIDA ywja inn carredons <br /> - Opsr$tar�s oer#t#c3t+ort <br /> IrtsPazction Date: Augc>is1!200 W20 IhsPected By: MCHOLAS LOFHRSR <br /> i <br /> Faarffity Address: 20700 MOUNFAM HOUSE PKVVY, TRACY r:ERS rp; IC14437 <br /> f r EMY rider P13T Y of law thak- <br /> I Frame cnrreaed#)a violations�;paacirked In the Inspeckwn Report 6om the a�rr�er+ ns�3 9nsuecAia'n da% <br /> 1 I7srva personally ewammed ale following document tion aubmMed as prua#of oawpPance FOR EACH V1OLATION <br /> and t 6eNeta the Woo'nMiorr in bra true, aocurale, and Qompieku-. <br /> XII <br /> Photos�Papenv4fk tem enf <br /> 3- l am aukhAzed to submtt this orx68caVon on bAaif of the Rsspondant. <br /> 1 4, l am"am tf5 tttiere aare$fgrt 5Wr1 Pertsllrss for subrnikking(431se lnforrnEitlr)n, ixludkq (itis passibitfty of a Me <br /> r <br /> ti aindtor imprisonment(or known viofiuUorie, W C 25491) <br /> r <br /> P Date <br /> -- <br /> 17i <br /> 4' <br /> �i <br /> 7 <br /> t <br /> i <br />