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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue,Stockton,Califomia95205-6232 <br /> Telephone:(209)468-3420 Fex:(209)468-3433 Web:www.sioov.ordehdAucuafflu D lD <br /> RETURN TO COMPLIANCE CERTIFICATIONAny tt111..N_QR 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. HSC 25404.1.2(c)(1) <br /> All corrections to other violations 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. 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 resuks/manifestsitraining recordsiother appropriate paperwork,and/or photos verifying corrections <br /> Inspection Date: February 01, 2016 Inspected By: ELENA MANZO <br /> Facility Address: 1512 WEISS WAY, ESCALON _ EPA 11} CAL000401585 <br /> certify under penalty of law that: <br /> 1 1 have corrected the violations specified in the Inspection Report from the above-mentioned inspection date. <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> 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. 1 am aware that there are significant penalties for submitting false infurmation, including the possibility of a fine and! <br /> imprisonment for known violations. (HSC 25191) <br /> Name: Mike Eliason Title: Card1 ock Manager <br /> Signature Date: 3/9/2016 <br /> Summary Statement to accompany the Return to Compliance statement for the <br /> Small Quantity Hazardous Waste Generator Inspection Report for 1512 Weiss way <br /> in Escalon, Dated 2/1/2016 and Amended 2/9/2016 <br /> Items 403 and 605 both dealt with an absorbent rag found in an open and <br /> unlabeled container. The rag was removed and placed in a properly labelled <br /> and covered container. The incident was immediately addressed with our <br /> divers and additional training was done in a drivers training meeting on <br /> March 4,2016 . <br />