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i <br /> 06/20/2008 09: 50 209 330979 MAIL & MORE LLC PAGE 02/07 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARnIENT <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> Te ephone:(209)468-3420 Fax:(209)468-3433 Web:W7nv ov.or ehd <br /> RE URN TO COMPLIANCE CERTIFICATION <br /> Any Mr-NOR violations rioted in the"Notice to Comply"in.the attached Inspection Report must be <br /> corrected wi 0&ys of receipt of this inspection. This certification forn must be submitted to the <br /> Environmental Health D artment(EHD) address at the top of this form within 35 days of receipt of the <br /> Inspection Report. <br /> All corrections to otherliolatiQns noted in the attached Inspection Report(IR) or Continuation Form, or <br /> disputes to any violations, are to be submitted using this certification and returned to EHD within 30 da <br /> ys <br /> unless otherwise specified in the Inspection Report. <br /> Note: All EHD staff time associated with failing to comply by the above noted dates will be billed at <br /> the current hourly rate ($98). <br /> For this Certifica ion t0 be complete the operator of the site must include: <br /> • A statement do enting what corrective actions were taken or will be taken for each violation <br /> • Copies of satnpl results/manifests/training records/other appropriate paperwork, and/or photos <br /> verifying correct ons <br /> • Operator's certification <br /> Inspection Date: Inspected By: <br /> Facility Address:_ EPA ID#: <br /> I certify under penalty of law that: <br /> 1. I have corrected the violations specified in the Inspection Report from:the above-mentioned <br /> inspection date. <br /> 2. I have personally examined the.following documentation submitted as proof of compliance FOR <br /> EACH VIOLAT N and I believe the information to be true, accurate, and complete: <br /> Photos-Paperwork Statement <br /> 3. I am authorized t submit this certification on behalf of the Respondent. <br /> 4. I am aware that tJ ere are significant penalties for submitting false information, including the <br /> possibility of a fit e and/or imprisonment for known violations. (HSC 25191) <br /> Name: Title: <br /> Signature: Date: <br /> EUD 22-02-005 Rev 11107 <br />