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_2009-05-18 20:04 >* JBHunt P 2/2 <br /> SAN Joaoufrl:COUNTY <br /> ENVIRONMENTAL HEALTR DEPAR'}'piA;ENT <br /> 600.1=ast Main Street.Stockton, CA 95202 3029 <br /> Telephone (209).468,3420'Fax:(209468-3433:W66-, <br /> ) w� w•,s' gv.or<q ehd <br /> RETURN TO. COM`PLIAN.C.E;;CERTrF'IGfiXtON <br /> Any MINOR violations`noted'in the-Notice to Comply'.in•the:attached Irispection.,Report must be <br /> corrected-wit.irr 3q.da 's of,feGeipt of We,inspection. This,certification forKn must be submifted to the" <br /> nvironmentaI Health Department.(EHD) address.at the.top of this form.�Athin.30.days of receipt of the <br /> Inspection Report. <br /> Alk corrections to other violations noted in the attached:Irispectiorr Report.(1R)or Continuation Form., or <br /> disputes to i3riy..violatidns,are:to be su-bmitted using.this.certificafFor},acrd returned to EHD Within 30..days <br /> unless otherwise speeif ed'In the trtspection Report:. <br /> Note: afl EHD staff time assoviated.rnritftt.faitfrtg td comply by a above-noted;dates will be . <br /> biHdd.`ii#:�e' Eurxent:hourly rate: <br /> For, '� is,!ber-ti�iCa� MP 1O,n t0 be 00 &6:the operator of the.sfte my' include: <br /> • A statement documenting::W-hat corrective actions were taken orWil tie+taken for each violation <br /> •, <br /> Copies of sample resutW. 6anifestsftrair+ing,records!•other appropriate paper.-.,r , and7or ptxofos . <br /> irerifying.correction& '. . <br /> • erator's certi#'icatior�-:.. .. : .:; . . . <br /> InspecB.y: !J <br /> Inspection Date: . - . . <br /> Facili Address:. EPA.[D#:71 <br /> ty <br /> l:certifj:undee persalty of law thafi: <br /> 4. <br /> 1:r •I'ha�+e con ected the yiola#io;ns specified in the inspe6tion.Report fFom•the'above-ateritioned <br /> i•nspegkn;date. <br /> 2. I.haue personally..examined the following docurn.eintation.submitted as prErof of evmpliarice FdR <br /> i ACH VC�L 101 an.d�I believe:the information to be true, accurate, and cvr�plete: <br /> Photos. . i' Pa rwock: . / . Statement <br /> 3., I ark►•autf*Iaed to subrtiit'tliis certificafidn.on b half:af.the Respondent- <br /> ... ... . : . <br /> 4. 1 am.aware,fFiat there are signific6ht penalties for submitting fals.e:inforrnatiari,it ciuding.:tlle <br /> possibility af.a.firtie andfar i prison <br /> A. for known-violations, (k SC 2519?) <br /> I cr4lFce: �!r'r�c�' r. I '^ Title. Mi <br /> Date::: <br /> EHO 22-02-005 Reu 08/08, <br />