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,t <br />` SAN J0AQl1IN COUNTY f G <br />rNVIRONMFNTAL HEA.LPT i DEl'ARTMPNT <br />' 304 East. Weber Avenue, Yd Floor, Stockton, CA 95202-2708 <br />Telephone, (209) 468-3420 Foix, (209) 468-3433 Web: www.sj ov,9r */6 chd <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 violations noted in the attached .Inspection Report (1R) or Continuation Form, or <br />disputes to any violations, are to be submitted using this certification and returned to EHD within 60 days <br />unless otherwise specified in the IR. <br />For this certification t0 be complete the operator of the site must include: <br />• A statement documenting what corrective actions were taken or will betaken for each violation <br />• Copies of sample results/manifests/training records/other appropriate paperwork, and/or photos <br />verifying; corrections <br />Operator's certification <br />Inspection Date: 7/19/06 inspected By: Willy Ng <br />Facility Address _2375 W, Grant Lille, Tracy EPA 1D#:CAR000118141 <br />I certify under penalty of law that: <br />I 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 x Paperwork Statement <br />3. I am authorized to submit this certification on behalf of the Respondent. <br />4. 1 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 />Q <br />Si <br />Sib <br />Title: HSE CC II <br />Date: 10/26/06 <br />EHD 22-02-005 Rev 12-04 <br />Ed Wd6T:ET 900E 9E ';00 0606ETESE6: 'ON Xdd sn si3nao�id -iIO -ndHS: WONA <br />