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SAN�D | [l 8 [lh U | N ����������������� ��ealt' <br /> ��� |� ]��U W � |� _ <br /> ! <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations noted in the"Notice to Comply"in the attached Inspection Report must be corrected within 30 days of <br /> receipt ofthis inspection. This certification form must be submitted to the Environmental Health Department(EHD)address at <br /> the bottom nfthis form within 3Udays nfreceipt ofthe 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 /> vio|adnna, 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 billed <br /> mtthe 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 /> Operator's certification <br /> Uns^ mot|on Dote: January 26, 2022 Inspected By: LYDIA BAKER <br /> Facility Address: 2S08VVBENJAMIN HOLT DR, 'TOCKT(}N CERS |D: 10181253 <br />