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PUBLIC HEALTH SERVICES <br /> o. <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 304 E. Weber Ave., 3rd Floor P.O. Box 388 Stockton, CA 95201-0388 <br /> 209/468-3420 <br /> Fri <br /> CERTIFICATION OF RETURN TO COMPLI E ' ' <br /> NOV 0 6 1996 <br /> In the matter of the Violations cited on 10-22-96 -NVIHONMEi� FAI- HE.�,f <br /> ( ) PERMIT/ SERVICES <br /> As Identified in the Inspection Report dates 10-22-96 <br /> Conducted by San Joaquin County PHS-EHD (agency or agencies) <br /> Robert McClellon - Regional Environmental Health Specialist <br /> I certify under penalty of law that: <br /> 1. Respondent has corrected the violations specified in the notice of violation cited <br /> above. <br /> 2. I have personally examined any documentation attached to the certification to <br /> establish that the violations have been corrected. <br /> 3. Based on my examination of the attached documentation and inquiry of the <br /> individuals who prepared or obtained it, I believe that the information is true, <br /> accurate, and complete. <br /> 4. I am authorized to file this certification on behalf of the Respondent. <br /> 5. I am aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations. <br /> ICHARD ORR QUALITY ASSURANCE MANAGER <br /> ame Int or Typed Title ) J J <br /> b / 1 — l — F I <br /> r <br /> Signature Date Signed <br /> OUALEX INC. CAD 983635038 <br /> Company Name EPA ID. Number <br /> A Division of San Joaquin County Health Care Services <br />