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SANErviro JOAQUIN n RETURN TO COMPLIANCE C RTIFICATION Any MINOR violations noted in the"Notice to Comply"in the attached Inspection R port must be corrected within 30 dans of receipt of this inspection. This certification form must be submitted to the Environmental Health Department(EHD)address at the bottom of this form within 30 days of receipt of the Inspection Report. HSC 25 04.1.2(c)(1) All corrections to other violations noted in the attached Inspection Report(IR)or C vifinualion Form,or disputes to any violations, are to be submitted using this certification and returned to EHD within 30 da s unless otherwise specified in the Inspection Report. HSC 25185(c)(3) Note: All EHI) staff time associated with failing to comply by the above doted dates will be billed at the current hourly rate. For this certification to be complete, the operator of the site must include: A statement documenting what corrective actions were taken or wi[I be taken for each violation Copies of sample resuitsimanifests/training recordslother appropriate paperwork,and/or photos verifying corrections Operators certification inspection Date: DeGern ger 06. 2019 Inspected By. JOHN A AN1Z Facility Address: 62,50 LINDBERGH ST, STOCKTON CERS IDS 101876,59 1 certify under penalty of law that: 1. 1 have corrected the violations specified in the Inspection Report from the above-mentioned inspection date. 2. 1 have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION and I believe the information to be true;accurate, and complete: Photos Paperwork Statement ' 3. 1 am authorized to submit this certification on behalf of the Respondent. 4. 1 am aware that there are significant penalties for submitting false infer ation,including the possibility of a fine andlor imprisonment for known violations. (HSC 25191) Name: 4C.cGtrj Vit. Title: Cc) P_f— Signature: Date: f 1