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01110/2008 14:15 5035241280 <br />n <br />u <br />RUTH HA <br />000596 At <br />SAN JOAQUIN COUNW <br />ENVIRONMENTAL Hmiu DEPAR"I'mEwr <br />600 Emit Main Sueet, ShAdon, CA 952023029 <br />Td ophonar (209) 468-3420 .Frac.* (209) 468-3433 Web: w—ww.§iCmLore%hd <br />RETTiRN'TO COMPLIANCE CERTIFICATION <br />PAGE 02103 <br />Any violatioris noted in the "Noticeto • r 1 ':1` attached Inspection eport must be <br />f v - r�..:±f t 1 �. `. a f i + 1 :.. 1 +. ,. 1 !::1. - 1 s:.. G: t t; s must tsubmitted, 1 the <br />t 1 :, Health Department ' HD" address <br />the top of this ffitm within 35 days of «. I 1' the <br />Inspection <br />e41...f 1 i f.7 .. <br />s 1 1 `. i f 1.:- !: t t 1 '. noted in 1 I ir#. Inspection r. _+ 1 r t Continuation i I". i` <br />All a ► 1 �. i 1 `. i 4.! t str' t +:_ LIH: =�i. f d t.' rs tq +' - r Mi t � ! �' 1 <br />unless otherwise specified it the Inspection _. or <br />Notes Au EHD staff time associatedwith falling to comply by the above noted dam will be bided at <br />the cuffent hourly gate (598). <br />For this certification to be completethe operator of the site must include: <br />statment doctimenting <br />what -: corrective actionstaken or will be takcn foreach <br />• Copies ! sample resuits/manifests/haiaing recordslotherappropriate paperwork,and/or photos <br />verifying corrections <br />• Operator's certiice: ff <br />hmpection Date 63r Inspected By: i J <br />f <br />jF'AD4 <br />k <br />certify under Li 1 `: ;I: : r <br />dia r' <br />corrected 1. violations specified 1 the Inspection ` { ! from t:.. abovomentioned <br />inspection date. <br />2. 1 have personally examined following :1:g tt r -i dosubmitted proofof compliance - ,f.;' <br />EACH VIOLATION and I believe the inibmation to be true, accurate, and complete: <br />/: 3 :: 1. : - 91 ! 4,Y1 + r+:... .: i ►:'.1 1: ': " _. infi f ! 1. including %r t <br />Possibility of fine and/or + t `.# f i for known 1 ;:. o1 .,(HSCi <br />6vrro AAAW, liw <br />1 <br />b` <br />Namevu Titl. <br />n l/ r h2'I <br />