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ECEIVE MAR 2 5 2022 SAN Q U N 1= NVIRONMENTAEnvironmental Health Department L HEALTH PERMIT/ SERVICES RETURN TO COMPLIANCE CERTIFICATION Any MINOR violations noted in the " Notice to Comply" in the attached Inspection Report must be corrected within 30 days 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 25404. 1 . 2 (c) ( 1 ) All corrections to other violations noted in the attached Inspection Report ( IR) or Continuation Form , or disputes to any violations , are to be submitted using this certification and returned to EHD within 30 days unless otherwise specified in the Inspection Report, HSC 25185 (c)(3 ) Note : All EHD staff time associated with failing to comply by the above noted 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 will be taken for each violation Copies of sample results/manifests/training records/other appropriate paperwork , and/or photos verifying corrections Operator' s certification Inspection Date : February 25 , 2022 Inspected By : JOHN ALANIZ Facility Address : 2185 E FREMONT ST, STOCKTON CERS ID : 10181081 I 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 information , including the possibility of a fine and/or imprisonment for known violations . ( HSC 25191 ) Name : ASH IcDi-i 4 �f -) 1( E Title : Ob,3 to%hF t) P, I/, Signature : GLV O - - _Date : ) L 1 ) 2 )