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08-02-07 04: 1 8Pm From-TAIT ENVIR6 TAL 714-560-8237 P-06/06 F-937 <br />0 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East maiu Strom Sock m CA 95202-3029 <br />7'e1qAaffie., (209) 468-3420 F= (209) 468-3433 Web. vWw.*=v,=Lehd <br />r <br />MJRE�Ms <br />9 _Q6 WI&I <br />-9- <br />inTeCdOnrePort. 'Permit application was submitted an 7/13/2007. <br />An MRP will be sent to you when the work is complete <br />All qgr_rections to -0thUT, violatiom noted in the attached inspection Report (IR) or Continuation F(irm, or <br />figutes to arm golwvo *-MiTAf ?Av-r a f v W <br />F or this certification to be completethe 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 />vefifyins corrections <br />• Operator's certification <br />rnspection Date: Inspected By: <br />Facility Address: 10 East 12th St., Tracy <br />I have corrected the violations specified in the Inspection Report from the above-mentioncl <br />inspection date. <br />1 have personally examined the following documentation submitted as proof of compliance FOR <br />EACH VIOLATION and I believe the infonnation to be true, accurate, and complete: <br />Photos _____yapetwork staterneA <br />3. 1 am authorized to submit this certification on behalf of the RespondeA <br />4. 1 am awarc that there are significant penalties for submitting false intbrmation, including the <br />possibility of a fine and/or imprisonment for known violations. (HSC 25191) <br />Name: R.,; Title. <br />0 <br />Date: --7,, <br />