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Sae1 Joaquin County <br /> Erlwonmef"Hearth Depwo nent <br /> IFM Fmt HareNon Ad&,A.SmU3on,f Allot—n2W,-6232 <br /> T*AWA,ww(206)466,3426 Far:(bA)AM3433 Web: aQ <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Arry ndanorn retW In me'Wba1 to ComW n erw aasched kmpocicn Report rr A:tK 4 .Ir>�c..30�1ri o1 <br /> rort.{M d Vre nspaUlrn. TM ofr06raeon Isom moor'ba athrtrr3od Oo nw FrwawrerfW Fiaaan laepal+enl(DO)a w"m <br /> at tM aop d 7+a Iorrrl welt.30 doya of rxda d Uw WdWb n RoPcn HSC 2SKIa.1.2(cl(t) <br /> Aa g2MM:;t=to eater,wlaao'e mead n Ire*MwA 1 Irwpe¢to Repro(IRI a ceranuabon Form.a 65pws io wry <br /> `taotre.me to be ahnewd uwq the carlfer-a and fesAred to Cltb-my—00 darn csim orwwt"VocAm in Ile <br /> Ps emon Regrt HSC 251AS(cN31 <br /> Nota:AN EHD alatl tine aaaocialod w th failing to comply by the above naiad dat s will be <br /> billed at the cumM hourly Ma <br /> For this certification to be complete,me operarrwollre o.Iamum wxk-* <br /> A!•.aa0rl.Or!de4mercn)whX Cpfeelhe amour were LYr.M a WM 0e lakM fpr aa-J+wo4tiOn <br /> Copba d sarTOb reluaslrarafeata,0�arwg reo Fls':tlW fK�prapriKA PiOor.OM1,aM1Y Wroaoa 7 <br /> oxroSorrl <br /> Operoerf cenecrmn <br /> Ifnpaetion Oats: u"0A 2016Fas+an 2aeaw <br /> Ifaapacbd By: <br /> Faeflity Addtaaa: 1206 E Y. CH IN CERS ID: 10100713 <br /> I ewtOy wxW.P"wAy or Low rue <br /> 1. I Pw m rocW Ifw K.*ha apoftW n awe Irwpbot m Report kart tlw aAove.'wnbc.+ed Irepecten 440 <br /> 2. I five pervAme r ara,wwd Irw kulamrg**o~uw auft fmd n prod d w"Viwaa FOR EACH NIXATION <br /> &W I b**"the trAomoxin to be true.a ow,arld convide kI <br /> 3 1 a au?anzW to mArM rn oeroacana+on WuN d the ReaporAed <br /> a I r azo:vl man aro app-F[+tht 0!wrs!or scmrv+y rarke edon.alon.+xiuSnp tIa ncssA+atr d a love <br /> ahG4rnrp;eawMlaaiarlvG�aS+ora r,HSC251G11 I �^ <br /> Name E A VOL IM k Ytt Tisk: V I� pO tS r k1fav,av,S <br /> 1 1 b1�f <br /> Sgna:ure.�a <br />