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08-14-07 10:33am From-TAIT ENVIRQ NTAL 714-560-8237 T-418 P.05/05 F-164 <br />SAN JOAQWN COuM <br />RONMWrAL HEALTH DEPARTMENT <br />600 FAK Main Street• STockm CA 95202-3029 <br />Ted ne. (209) 468-3420 Fay (209) -3433 Web. jsQv g/ehd <br />Any MINOR violations noted in the "Notice to Comply" in the attached inspection report must be <br />corrected within 30 dans of receipt of this inspection. This certification form must be submitted to the <br />Environmental. Health Department ( ) address at the top of this form within 35 days of receipt of the <br />inspection report. 'Permit; application was submitted on 7/13/200'7. <br />An MRP will be sent to you when the work is comp:Lete <br />All cQrrectioris to other violations noted in the attached Inspection R (IK) or Contsnuation Form, or <br />disputes to any violations, are to be submitted using this certification and returned to EHD wi ja 60 d ys <br />unless otherwise specified in the IR. <br />0 A statement documenting what corrective actions were taken or will be taken for each violath-P <br />Copies • sample results/manifests/trainingrecords/otherpaperwork,• i' photos <br />verifying corrections <br />Operator's certification <br />7/5/07 <br />Ingncted By: Michelle Henry <br />Facility Address: 10 East 12th Sr:,, Tracy EPA #: CATO80029282 <br />- corrected the violations specified in the Inspection a i from the above-mentioned <br />inspection •. ..:. <br />Photos Paperwork _rx--statement ' <br />4. Y 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 />Dame: - Brian <br />Harmon <br />Harm n _ Title' 1J,aace Manaoear <br />Bate; 8/13/07 <br />