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AEGEIVEr,l <br /> JAN 12 2015 <br /> LNvâ–şRONMENTAL <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue,Stockton,California 95205.6232 <br /> Telephone:(209)468-3420 Fax:(209)468.3433 Web:www.;IIgoy,gW1ehd <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MitJOf3 violations noted In the 014olice to Comply"In the attached Inspection Report must be corrected within 30 days of <br /> receipt of this Inspection. This certificalton form must be submitted to the Environmental Heallh Department(EHD)address <br /> at the top of this form within 30 days of recelpt of the Inspection Report. HSC 25404.1.2(c)(1) <br /> Ali gorreclions to other violations noted In the attached Inspection Report(IR)or Continuation Form,or disputes to any <br /> violations,are to be submitted using this cerfiWallon and returned to EHp within 30 days unless otherwise specified In the <br /> Inspection Report. HSC 26186(c)(3) <br /> Note: All EHD staff time associated with falling to comply by the above noted dates will be <br /> Wiled at the current hourly rate. <br /> For this certification to be complete, the operator of the site must Include: <br /> A statement documenting what corrective actions were taken or will betaken for each violation <br /> Copies of sample resulWmanifests/lraining fecords/other appropriate paperwork,and/or photos verifying <br /> corrections <br /> Inspection Date: October 24,2014 Inspected By: MICHELLE HENRY <br /> Facility Address: 2830 Auto Plaza Way,Tracy EPA 11); CAL 000296760 <br /> 1 certify under penalty of law that: <br /> 1. 1 have corrected the violations specified In the Inspection Report from the above-mentioned Inspection date. <br /> 2. 1 have personally examined(lie following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> and I believe the Information to be true,accurate,and complete: <br /> X Photos X Paperwork X Stetement <br /> 3. 1 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 Me <br /> and/or Imprisonment for known violations. (HSC 26191) <br /> Name: Victor Lima '--Emergency Coordinator <br /> Signature: Date: January 9,2016 <br /> Attachment A -Page 1 of I <br />