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SAN JOAQUIN Environmental Health Department <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> + T'Y MIINaR w,olftorvs noted kR VM`NOM to Cawpfy'in Pw attarAwl Iraspetiron Repon must be r�VEMID 30 dart of <br /> MMO of Rns won. This owakwkw torin muax tm stovrRtad toVw Ermnxin enim 14009h D&panment fE"o dress sI <br /> the batlarrr ut fts form vothon 30 Sys of remo of the Inrspect6n R*pDrL HSC 25 04-1.2(c)III <br /> AN vidaftyS rooted in the a ached Inspectw Rapcd(IR)or Cuptinuatron Form.or QUspules 10 any <br /> vmiab wn- ore w be wjbn~u map en orrm%zwn and,ohnned tv EM, A?w 30 dare xis c0ier.rac speafk-d in we <br /> lnspecTxm Report. HSC 251 cX3) <br /> Note: All EHO staff elm* associated with falling to compiy by the abeVe noted dates will be <br /> billed ai the curTeni hourly rate. <br /> For this certification to be complete, ft ownkoror ov sill, mull rndwk. <br /> A v9sRwrwm*docuRuhnlrrrg what emacbw acWft weft laiwen or will br tkan for each vrola m <br /> C Peas of&ample fesuWmandestsltraining reaosd&WJl mr apprppnale paperwork.andfor phoAm verifying oxrecwn <br /> Operator-s oerWkmban <br /> Inspection Date: October 92. 2024 hmpad By. ALBERTO FERN ND <br /> Facility Address: 1941 E LOC HEED CT, STOCKTON ERS IO: 10101291 <br /> I corlaty undCf ptinally p(law Vial. <br /> 1_ I have Corrected the krola#rons.Bpeofi W in the Inf pec0m Repo(;from the aDave-menNxiod inspeK lion date <br /> 2- I#rove personagy exftrr►ined the fenowing dot urrierktabuin subn itlerd as pmof of compkro FOR EACH VIOLATION <br /> and I Wieve the rnfnrrnatMon to be w,9, accurate, and cornpWa'. <br /> i}hiklrrs Paperwork ?Statement <br /> 3, l am auOxxUed to subrnrl Ns,avrtlf.cabon on behW1 of the Respondent. <br /> 4. l am aware INar there are s+gnWir-ant penalties for draomiiling(also rnforrn bw,including the possibility of$fine ardke <br /> fm know(+ass, (H&C 25191) <br /> Marne: � lcri4 �* Title: #CIF lr rl' . e.: t <br /> Signet Data: <br />