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For <br />{@ certification <br />p Do rgg (INF alm is s- <br />4/i $aZ B C- ��i!! 7 6® `g iP ltd � will be Wm for each � 1 <br />v A statement doss 'nGt*w or photos <br />. CopiesverifyIof sam manl wining na�rdslothen ate <br />pr's n <br />inse on Date,_) ti e �.�1? i pe k3y:_ ^A C .—�� � t ' <br />Facility Address: BPA ID� � y <br />I , <br />I oer* under penalty of taw that <br />JUU12 3 2012 <br />9. 1 have corrected the violations specified in the Inspection Report from the above-mentloned <br />Inspection date. <br />2. 1 have personally examined the foliovflng docum <br />entadon submitted as proof of compliance FOR I - <br />EACH VIOLATION and I beiieve t*Informsborrto Wtrue, accurate, and comp: 9 <br />-Photos '? Paperwork statement ' <br />ori2ed to subunit this certification on be:W of the Respondent. <br />3. I am Guth I <br />4 1 am aware that there are signktoant penalties for submitting false infiotMetion, Including Ute <br />INC. <br />F.O. BOX 1107, STOCKTON, CA 95201 <br />PHONE (209) 465.3421 FAX (209) 234.7295 <br />FACSIMILE TRANSMITTAL $MEET <br />TO: Lm FROm: TIM SHA ORD <br />COMPANY. DATE: <br />TOTAL NO OF PAGES INCLUnING COVER. <br />X URGENT X FOR REVIEW OPLUASE COMMENT O PLEASE REPLY ❑ PLTAM RECYCLE: <br />e. <br />NOTZ61COMM$NTS; <br />1.0'd 00:9L ZLOZ CZ Inr 0L6199V60Z:xe3 10d 30 NVA <br />