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REGEIVEL <br /> San Joaquin County <br /> Environmental Health Department OCT 0 6 2015 <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)4683433 Web:www.slgoy.orrrirhellIRONMENTAL <br /> NFAI TW MDAW4ACAIT <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any AOR violations noted in the"Notice to Comply"in the attached Inspection Report must be corrected within 30 days of <br /> receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD)address; <br /> the top of this form within 30 days of receipt of the Inspection Report. NSC 25404.1.2(c)(1) <br /> All corrections to other vlolations noted in the attached Inspection Report(IR)or Continuation Form, or disputes to any <br /> violations, are to be submitted using this certification and returned to EHD within 30 days unless otherwise specified In the <br /> Inspection Report. MSC 25185(c)(3) <br /> Note: All EMD 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 verifying corrections <br /> Inspection Date: September 02, 2015 Inspected By: FATINAH ZAREEF <br /> Facility Address: 3333 AUTO CENTER CIR, STOCKTON EPA ID Z*bIfrI 5 �-7 6 EQ <br /> I certify under penalty of law that <br /> 1. 1 have corrected the violations specified in the Inspection Report from the above-mentoned inspection date. <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> I believe the Information to be true,accurate, and complete: <br /> Photos_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 possibility of a fine and/ <br /> Imprisonment for known violations. (HSC 25191) <br /> Name: Title: fSc I�'j'r.� <br /> Signature: !��������Date: jo - f ; <br /> 1rvnrr.Louamu n-Livnri <br /> ]VANNOWAN9 <br /> Stu 9 0 100 <br /> 19A173071H <br /> ZZOI£00'd QvLV:b L S l OZl9010 l <br />