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YJun. <br />1, 2018 4:25PM Auto Industrial <br />Paint Co. No, 7700 P. 1 <br />car <br />Environmental Heakube <br />7 <br />JUN 0 7 2018 <br />�., <br />ENVIRONMENTAL <br />RETURN TO COMPLIANCE CERTIFICATIO>'IWALTH DEPARTMENT <br />Any MINOR violations noted in the "Notice to Comply' in the attached Inspection Report must be correctgd within 30 des of <br />receipt of this inspection. This certification form must be submitted to the Environmental Health Department (EMD) address <br />at the top of this form within 30 days of receipt of the 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 />violations, 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 <br />billed at the 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 <br />corrections <br />Operator's certification <br />Inspection Date: May 08, 2018 _ Inspected By: ROBERT LOPEZ <br />Facility Address; 1128E WEBER AVE, STOCKTON CERS ID: 10182445 <br />I certify under penalty of law that: <br />1. 1 have corrected the violations specified in the Inspection Report from the above-mentioned inspection date. <br />2. 1 have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br />and I believe the information to be true,ac rate, and complete: <br />Photos'!� Paperwork Statement <br />3. 1 am authorized to submit this certification on behalf of the Respondent. <br />4. 1 am aware that there are significant penalties for submitting false information, including the possibility of a fine <br />and/or imprisonment for known violations. (HSC 25191) <br />Name. Title: <br />Signatur' Date- F77- <br />RECEIVED <br />JUN 0 7 2018 <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />Received Time Jun, 1, 2018 3:38PM No.3670 <br />