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�� a��1Ul Environmental Health Department <br /> C..:dNTY <br /> Greatr pa s grawc here. <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 returned to EHD within 30 dans unless othermse specified in the <br /> Inspection Report HSC 25185(c)(3) <br /> Note: All EHID 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 in dude: <br /> A statement documenting what corrective actions were taken or wi II be taken for each violation <br /> Copies of sample resuWmanifestsltraining recordsicTff appropriate paperwork,and/or photos verifying corrections <br /> Operators cert ication <br /> Inspection Date: November 29,2022 Inspected By: CAROL PRESTO <br /> Facility Address: 541 Vi GRANT LINE RD 101, TRACY CERS ID: 10187365 <br /> I certify under penalty of law that: <br /> 1- I have corrected the violations specified in the Inspection Report from the above-mentioned inspection date- <br /> 2- I have personally examined the following documentation submitted as proof of compliance FOR EACH VIOLATION <br /> and I believe the infonnation to be true,accurate,and complete: <br /> Photos Paperwork Statement <br /> 3- I am authorized to submit this certification on behalf of the Respondent_ <br /> 1. 1 am aware that there are significant penalties for submitting false information,including the passibility of a fine <br /> and/or imprisonment for known violations. (HSC 25191) <br /> Name: Title- <br /> Signature: Date <br /> Sincerely, <br /> Yenny Khuu, CSP, ASP I EHS Manager I The Americas Group - EHS & Transportation Safety <br /> The Sherwin-Williams Company 12100 W. Orangewood Ave. Suite 100 - Orange, CA 92868 <br /> Cell: (714)474-7617 1 Fax: (216) 263-8432 <br /> Email: yenn. .kY huuksherwin.com <br /> From: Presto, Carol [EHD] <cpresto@sigov.org> <br /> Sent:Tuesday, November 29, 2022 2:08 PM <br /> To: sw708245 Tracy<sw708245@sherwin.com> <br /> Cc:Yenny Khuu <Yenny.Khuu @sherwin.com> <br /> Subject: [EXTERNAL] 541 W Grant Line Rd - Inspection Report <br /> 11 This email originated outside the Company <br /> Hello, <br /> 2 <br />