|
/!ny Iv�llraOh �fiohauurt<> nou,d I I tie N� I,a fo Crn i al/ m the ,au,� he)d In ,p,.�, I>n t��pol I ur,. be � I<rux1 wmhln 3[) riayu c'r
<br />L.r r,q> of fhI , III ,p, cflo u , srfinr r IoII ton7I foul d h" �u'On u L.(l' o tI melon ne )I 6 III I In,pvl iI I art (FI -IF)) ;fiche,; at
<br />h.. h om 'hi , lol m liviihil I M dov of L,(,c,ipi ol u, InapEw , o I R.. o[i H'SC 1 i401 1 2((;)(1)
<br />II �n i.,r. o7 fu �> hE_r nol i�in.� no < <1 ui hr-; o1G � iu,rIn>pr,� u>n I:ypor (I �) rn Con uua a'lon Fon i o SII prkf,�any
<br />vud.flona, �aIe lo bo sulnnilled ufAvj IhI , coriifi(Aw »i and retooled to I_.HI) Nmhln IW d +,Y�cj 1 7s olfihnwdse sp..0 red in thw
<br />hI pe61or cpof hM MAQM(c)(3)
<br />Nota. All �kID staff' tltsre asse�claEod enrlth falling ts� a;e�ratply Sy th� abne�ve nested dates wIII pay taill�d
<br />MEMIMEEMMUMMOM
<br />�()I` ��115 C;�f tI�IC�tICDft �f1 �� C:C7Y°fl���'��, the operator oPfhe 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: ,uly 20, 2022 Inspected By: GARRR 't GARCIA-MEJ1A
<br />Facility �ddr®ss� �3�J 4"'( C;i_AY �"C`, S'rC)�;4'TCJ� ��RS ID: 1�i'i813'i`3
<br />I certify under penalty
<br />of law that:
<br />1. I have corrected the violations speci5ed in 4he Inspection Report from the above-mentioned inspection da4e.
<br />2. I have personally examined the following documentation submitt
<br />ed as
<br />proof
<br />te
<br />a ;;-
<br />(
<br />Photos Paperwork
<br />,n
<br />It
<br />/!ny Iv�llraOh �fiohauurt<> nou,d I I tie N� I,a fo Crn i al/ m the ,au,� he)d In ,p,.�, I>n t��pol I ur,. be � I<rux1 wmhln 3[) riayu c'r
<br />L.r r,q> of fhI , III ,p, cflo u , srfinr r IoII ton7I foul d h" �u'On u L.(l' o tI melon ne )I 6 III I In,pvl iI I art (FI -IF)) ;fiche,; at
<br />h.. h om 'hi , lol m liviihil I M dov of L,(,c,ipi ol u, InapEw , o I R.. o[i H'SC 1 i401 1 2((;)(1)
<br />II �n i.,r. o7 fu �> hE_r nol i�in.� no < <1 ui hr-; o1G � iu,rIn>pr,� u>n I:ypor (I �) rn Con uua a'lon Fon i o SII prkf,�any
<br />vud.flona, �aIe lo bo sulnnilled ufAvj IhI , coriifi(Aw »i and retooled to I_.HI) Nmhln IW d +,Y�cj 1 7s olfihnwdse sp..0 red in thw
<br />hI pe61or cpof hM MAQM(c)(3)
<br />Nota. All �kID staff' tltsre asse�claEod enrlth falling ts� a;e�ratply Sy th� abne�ve nested dates wIII pay taill�d
<br />MEMIMEEMMUMMOM
<br />�()I` ��115 C;�f tI�IC�tICDft �f1 �� C:C7Y°fl���'��, the operator oPfhe 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: ,uly 20, 2022 Inspected By: GARRR 't GARCIA-MEJ1A
<br />Facility �ddr®ss� �3�J 4"'( C;i_AY �"C`, S'rC)�;4'TCJ� ��RS ID: 1�i'i813'i`3
<br />I certify under penalty
<br />of law that:
<br />1. I have corrected the violations speci5ed in 4he Inspection Report from the above-mentioned inspection da4e.
<br />2. I have personally examined the following documentation submitt
<br />3. I am authorized to submit this certification on behalf of the Respondent.
<br />4. I am aware that there are significant penalties for submitt
<br />ing false information, including the possibility of a fine
<br />and/or imprisonment for known violations. (HSC 25191)
<br />Name: Steve Az e Title: Environmental Manager
<br />Signature: Date: 8/5/22
<br />ed as
<br />proof
<br />of compliance FOR EACH VIOLATION
<br />and I believe the information
<br />to be true, accurate, and complete:
<br />Photos Paperwork
<br />—X
<br />Statement
<br />3. I am authorized to submit this certification on behalf of the Respondent.
<br />4. I am aware that there are significant penalties for submitt
<br />ing false information, including the possibility of a fine
<br />and/or imprisonment for known violations. (HSC 25191)
<br />Name: Steve Az e Title: Environmental Manager
<br />Signature: Date: 8/5/22
<br />
|