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SEP-05-2013 16:29 TUFF BOY TRAILERS 209239709,6 P.C11"01 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 9520-6232E <br /> [o <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www,sogov.org/ehd <br /> RETURN TO COMPLIANCE CERTIFICATION NVIRONMENT L <br /> ,-{EALTH DEPARTMENT <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 30 days of receipt of the <br /> Inspection Report. HSC 25404.1.2(c)(1) <br /> All corrections to other violations noted in the attached Inspection Report (IR) or Continuation Form, or <br /> disputes to any violations, are to be submitted using this certification and returned to EHD within 30 days <br /> unless otherwise specified in the Inspection Report. HSC 25185(c)(3) <br /> Note: All EHD staff time associated with failing to comply by the above noted dates will be <br /> billed at the current hourly rate. <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 photos <br /> verifying corrections <br /> • Operator's certification <br /> Inspection Date: August 05, 2013 Inspected By: Thuy Tran, REH8 <br /> Facility Address: 5151 E. AZmondwood Dr- EPA ID#: CAL000005904 <br /> Manteca, CA 95337 <br /> I 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. 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 Statement <br /> 3. 1 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 /> Name: Josh Harris Title:-Supervisor <br /> _ f - <br /> Signature: ,�t-�- Date: 08--07-13 <br /> o <br /> �- <br /> EHO 22.02.006 Rev 4112 <br /> TOTAL P.01 <br />