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06/20/2008 09:50 20 8330979 MAIL & MORE LLC PAGE 07/07 <br /> SAN JOAQU[N COVNrx <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3rd Floor,Stockjou, CA 95202-2708 '' <br /> Tel hone:(209)468-3420 Pax:(209)468-3433 Web:wwws ov,or lzd <br /> RET RN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations n ted in the "Notice to Comply"in the attached inspection report must be <br /> corrected within 30 days f receipt of this inspection. This certification form must be submitted to the <br /> Environmental health De artment(EHD)address at the top of this form within 35 days of receipt of the. <br /> inspection.report. <br /> All corrections to other vi lations noted in the attached Inspection Report(TR) or Contixivation Form, or <br /> disputes to any violations, a to be submitted using this certification and returned.to EHD within.60 days. <br /> unless otherwise specified ' the IR. <br /> For this cerfificafi n IO be complete the.operator of the site must include: <br /> • A statement docwr.,enting what corrective actions were taken or will be taken for each violatieu <br /> • Copies of sampleresults/manifests/training records/other appropriate paperwork, and/or photos <br /> verifying correctio s <br /> • Operator's certi'fic ion <br /> Inspection Date: <br /> Inspected By: <br /> Facility Address: EPA ID#: l� (00 % <br /> I certify under penalty law that: <br /> I. I have corrected the iolations specified in the Ins ection Report from the ko^e-mentioned <br /> inspection date. lQc lq /e /a�r � <br /> 2. I have personally.ex ed the following documentation submitted as proof of compliance FOR <br /> EACH.' OLATIO and I believe the information to be true, accurate, and complete: <br /> Photos_?_"aperwork_Statement <br /> 3, I am authorized to submit this certification on behalf of the Respondent. <br /> 4. 1 am aware that there are significant penalties for submitting false information;, including the <br /> possibility of a fine d/or imprisoninent for known violations. (HSC 25191) <br /> Name: <br /> Title: Cv <br /> ems-' <br /> Signature:�' Date: <br /> EHD 22-02-005 Rev 12-04 `' <br />