Laserfiche WebLink
San Joaquin County <br /> Environmental Health Department JUL 2 6 2010 <br /> 1868 East Hazelton Avenue , Stockton , California 95205-6232 <br /> Telephone: ( 209) 468 - 3420 Fax : (209 ) 468 -3433 Web: www sjgoy. ora/ehd � Y , <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations noted in the " Notice to Comply" in the attached Inspection Report must be corrected within 301W of <br /> receipt of this inspection . This certification form must be submitted to the Environmental Health Department ( EHD ) address . <br /> 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 violations noted in the attached Inspection Report ( IR ) or Continuation Form , or disputes to any <br /> violations , are to be submitted using this certification and returned to EHD within 30 days 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 certification 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 results/manifests/training records/other appropriate paperwork , and/or photos verifying corrections <br /> Inspection Date : October 26 , 2015 Inspected By : MICHELLE HENRY <br /> Facility Address : 2000 SANGUINETTI LN , STOCKTON EPA ID: CAL000398410 <br /> I 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 the following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> I believe the information to be true , accurate , and complete: <br /> Photos lPaperwork Statement <br /> 3 . I am authorized to submit this certification on behalf of the Respondent. <br /> 4 . 1 am aware that there are si scant pe Ities for submitting false information , including the possibility of a fine and/ <br /> imprisonment for known atns , ( H C 25191 ) <br /> Name: LE ET E BOLER JR Title: OWNER <br /> Signature : Date: July 26 , 2016 <br />