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S A N,J AOUIN Environmental Health Department RETURN TO COMPLIANCE CERTIFICATION Any MINOR violations noted in the"Notice to Comply"in the attached Inspection Report must be corrected within 30 days of receipt of this in pection. This certification form must be submitted to the Environmental Health Department(EHD) address at the bottom ofthi form within 30 days of receipt of the Inspection Report. HSC 25404.1.2(c)(1) All corrections to other violations noted in the attached Inspection Report(IR) or Continuation Form, or disputes to any violations,are to be submitted using this certification and returned to EHD within 30 days unless otherwise specified in the Inspection Repo . HSC 25185(c)(3) Note: All EH staff time associated with failing to comply by the above noted dates will be billed at the urrent hourly rate. For this ce ification to be complete, the operator of the site must include: A state ent documenting what corrective actions were taken or will be taken for each violation Copies f sample results/manifests/training records/other appropriate paperwork, and/or photos verifying corrections Operat is certification Inspection D te: May 06, 2022 Inspected By: LYDIA BAKER Facility Add ss: 7611 S AIRPORT WAY, STOCKTON CERS ID: 10181317 I certify under p nalty of law that: 1. I have orrected the violations specified in the Inspection Report from the above-mentioned inspection date. 2. I have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION and I b lieve the information to be true, accurate, and complete: Photos X Paperwork Statement 3. 1 am a ithorized to submit this certification on behalf of the Respondent. 4. 1 am a ivare that there are significant penalties for submitting false information, including the possibility of a fine and/or mprisonment for known violations. (HSC 25191) Name: R ck Nelson Title:_c -, }� �� G� 05-13-22 Signatur : Date.