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JUN-22-2006 THU 11 :20 AM 0000• FAX NO, 0000P P. 01 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT J 'i,� ) <br /> 304 East Weber Avenue,3rd Floor,Stockton,CA 95202-2708 Il f7 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web.wyw.sieov.or¢/ehd Elv3 2 <br /> OC6 <br /> _r `11T,SER;�'cHITH <br /> ICES <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations noted in the "Notice to Comply" in the attached inspection report must be <br /> corrected within 30 days of receipt of this inspection. This certification form must be submitted to the <br /> Environmental Health Department(EHD) address at the top of this form within 35 days of receipt of the <br /> inspection report. <br /> All corrections to other violatio s noted in the attached Inspection Report (IR)or Continuation Form, or <br /> disputes to any violations, are to be submitted using this certification and retumed to EHD within 60 days <br /> unless otherwise specified in the IR. <br /> For this certification to be COrriPlete 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/mariifests/training records/other appropriate paperwork, and/or photos <br /> verifying corrections <br /> Operator's certification <br /> Inspection Date: 06.22.06 Inspected By: Lori Luces <br /> Facility Address: 2947 Naw Drive EPA ID#: CAT080011240 <br /> I certify under penalty of law that: <br /> 1. I have corrected the violations specified in the Inspection Report from the above-mentioned <br /> inspection date. <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR <br /> EACH VIOLATION and I believe the information to be true, accurate, and complete: <br /> Photos X Paperwork X Statement <br /> 3. 1 am authorized to submit this certification on behalf of the Respondent. <br /> 4. I am aware that there are significant penalties for submitting false information, including the <br /> possibility of a fine and/or imprisonment for known violations. (HSC 25191) <br /> Name: Robert Granado Title: Manager - Env. Compliance <br /> Signature: Date: t <br /> EHD 22-02-005 Rev 12-04 " <br />