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• • SAN JOAQUIN COUNTY • <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3m Floor,Stockton,CA 95202-2708 <br /> Telephone.(209)468-3420 Fax.(209)468-3433 Web:www.sjgov.org/ehd <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 <br /> the Environmental Health Department(EHD) address at the top of this form within 35 days of <br /> receipt of the inspection report. <br /> All corrections to other violations noted in the attached Inspection Report(IR) or Continuation <br /> Form, or disputes to any violations, are to be submitted using this certification and returned to EHD <br /> within 60 days unless otherwise specified in the IR. <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 <br /> photosverifying corrections <br /> • Operator's certification <br /> Inspection Date: June 219, 2007 Inspected By: Muniauoa Naidu <br /> Facility Address:2000 W. Turner Rd. Lodi EPA ID#: CAD 981 396 021 <br /> 1 certify under penalty of law that: <br /> 1. 1 have corrected the violations specified in the Inspection Report from the above-mentioned <br /> inspection date. <br /> 2. I 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 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: Wade Broughton Title: Environmental Manager <br /> Signature: /b Date: July 31, 2007 <br /> EHD 22-02-005 Rev 12-04 <br />