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� � �K � ��U � � �U ��f`���K�����U 1! 11, � D ��ap����� <br /> �� � J ����� � U� " <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 of this inspection. This certification form must be submitted to the Environmental Health Department(EHD)address at <br /> the bottom ofthis form within 3Odays ofreceipt 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 /> vin|atinno, are hobosubmitted 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 /> at the current hourly rote. <br /> For this certification fOhe complete, the operator ofthe 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 /> Inspection Date: March 07. 2O22 Inspected By: LYDIA BAKER <br /> Facility Address: 3535EMYRTLE ST, ST{}CKTON CERS |D: 10182547 <br />