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08-14-07 , 10:33am From-TAIT ENVIRO TAL 714-560-8237 T-418 P-02/05 F-164 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 F-W Win Street,Swckeon,CA 95202-3029 <br /> Telep/taae:(209)468-3420 F=(209)468-3433 Web: .s' v ehd <br /> RETURNTO COMPLIANCE CERTIFICATION <br /> Any M,_.1NOR.violations noted in the"Notice to Comply"in the attached inspection report must be <br /> corrected within 30 stays of receipt of this inspection. This certification form mast be submitted to the <br /> Environmental Health Department(EM)address at the top of this form within 35 days of receipt of the <br /> inspection report. Permit application was submitted on. 7/13/2007 . <br /> An MRP will be seat to you when the work is complete <br /> All _c_onections to other violations noted in the attached Inspection Report(IR)or Continuation Farm,or <br /> disputes to any violations,are to be submitted using this certification and returned to EHD within_ 60 dans <br /> unless otherwise specified in the IR. <br /> For this Certification t0 be COMPIeW 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 results/manifests/training records/other appropriate paperwork, or photos <br /> verifying corrections <br /> ® Operator's certification <br /> Inspection ate: 7/2/0 7 InSpeCWd 13y:Toua Yang <br /> Facility Address:907 Lincoln Road, StocktonEpA • CAI'080029374 <br /> I certify under penalty of law that: <br /> I. I have corrected the violations specified in the Inspection Report from the above-mentioned <br /> inspection date. <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR <br /> EACH VIOLATION and I believe the information to be truce, accurate,and complete: <br /> Photos_- _ Paperwork Statement <br /> 3. 1 am authorized to submit this certification on behalf of the Respondent. <br /> 4. I am aware that these are significant penalties for submitting false information,including the <br /> possibility of a fine and/or imprisonment for known violations.(HSC. 25191) <br /> Name: Bri amon Title: Compliance Manager <br /> Signature4Date: 8/13/07 <br /> EHD 22-02-005 Rev 05/07 <br />