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REGEIVEL. SAN JOAQUIN COUNTY ENVIRONMENTAL REALTH DEPARTMENT APR 2 3'2G15 600 East Main Street,Stockton,CA 95202-3029 Teepha„e:(209)468-3420 Fes:(209)468-3433 Web: tNVIRONMENTAI RETURN TO COMPLIANCE CERTIFICATION Any MINOR violations noted in the"Notice to Comply"in the attached Inspection Report must be corrected within 30 days of receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD)address at the top of this form within 35 days of receipt of the Inspection Report. All corrections to other violations noted in the attached Inspection Report(IR)or Continuation Form,or disputes to any violations,are to be submitted using this certification and returned to EHD within 30 dans unless otherwise specified in the Inspection Report. Note: All EIID staff time associated with failing to comply by the above noted dates will be billed at the current hourly rate(5122). For this Certification to he complete the operator of the site must include: * A statement documenting what corrective actions were taken or will be taken for each violation * Copies of sample results/manifests/training records/other appropriate paperwork,and/or photos verifying corrections • operator's certification APSA Program Inspection Inspection Date: 4/1/2014 inspected By: Stacy Rivera i ! Facility Address: 3550 HWY 99, Stockton EPA lD#: i I certify under penalty of law that: 1. 1 have corrected the violations specified in the Inspection Report from the above-mentioned inspection date. 2. 1 have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION and I believe the information to be true,accurate, and complete: .__........Photos_ __._Paperwork x_____Statement 3. 1 am authorized to submit this certification on behalf of the Respondent. 4. 1 am aware that there are significant penalties for submitting false information, including the possibility of a fine and/or imprisonment for known violations. (HSC 25191) Name: Mike Eiiason Title: Cardlock Manager L_ Signatur : Date: 4/21/2015 EHD 22-02-005 Rev 08/10