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Environmental Health Department <br /> SAN JOAQUIN <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Any MINOR violations noted in the "Notice to Comply' in the attached Inspection Report must be corrected within 30 days of <br /> receipt of this inspection . This certification form must be submitted to the Environmental Health Department (EHD) address at <br /> the bottom of this form within 30 days of receipt of the Inspection Report. HSC 25404 . 1 .2(c)(1 ) <br /> All corrections to other violations noted in the attached Inspection Report (IR) or Continuation Form , or disputes to any <br /> violations , are to be submitted using this certification and retumed to EHD within 30 days unless otherwise specified in the <br /> Inspection Report. HSC 25185 (c) (3) <br /> Nate : All EHD staff time associated with failing to comply by the above noted dates will be <br /> billed at the current hourly rate. <br /> For this certification to be complete , 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 recards/other appropriate paperwork, and/or photos verifying corrections <br /> Operator's certification <br /> Inspection Date: August 24 , 2022 Inspected By: CAROL PRESTO <br /> Facility Address% 244 W HARDING WAY , STOCKTON CERS Was 10150779 <br /> I certify under penalty of law that. <br /> 1 . 1 have corrected the violations specified in the Inspection Report from the above-mentioned inspection date . <br /> 2. 1 have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> and I believe the information to be true, accurate , and complete : <br /> Photos ✓ Paperwork Statement <br /> 3 . 1 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 possibility of a fine <br /> and/or Imprisonment for known violations . (HSC 25191 ) <br /> Name: e� ��c G. At �^ rn � � 3 True: � � - <br /> signature: . Date: 7 <br /> RECEIVED <br /> I <br /> i <br /> SEP 12 2022 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br />