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S N J O A Q I I I Environmental Health Department <br /> RETURN TO COMPLIANCE CERTIFiCATION <br /> Any MINOB violatWs noted in the"Notice to Comply" in the attached Inspection Report must be corrected iNfthin_.3D days of <br /> receipl of this inspection, This certificatiori fort must he subrriMed to the Environmental Health Deparkmenl (END)address w <br /> the botforn of this form wilhin 30 days of receipt of the Inspection Reporl. HSC 25404.1.2(c)(1) <br /> All correclions.to.other viq[ptions noted in the attached Inspet ion Report(!R}or Continuation Form,or disputes to any <br /> violations,are to be submitted using this certifrcabion and returned to EHD within 30 fts unless otherwise specified in the <br /> Inspection Report. H C 25185(c)(3) <br /> Nate: All EHD staff time associated with failing to comply by the above noted dates will be <br /> gilled at the current hourly rate. <br /> For this cert1fication to be complete, the operator of the site must include' <br /> A statement docu menting what corrective actions were taken or YAM be taken for each violation <br /> Copies of sample resullsfmanifestsftsiining recordslother appropriate paperwork,andlor photos venlying corrections <br /> Operator's certification <br /> Inspection Date' January 16, 2026 Inspected By- MARIA LDPE <br /> Facility Address: 4950 BUCKLEY DOVE WAY. STOCKTON CERS I0; 10181441 <br /> i ceftjfy under penally of law That; <br /> 1. 1 have corrected the violations specified in the Inspection Report from the above-mentioned inspection date. <br /> 2. I have i3efsonally examined the following documentation submitted as proof of compliance FOR rACH VIOLATION <br /> and I believe the information to be true, accurate. and complete; <br /> Photos�f'aperwork 5talement <br /> 3. l am authefized to submit this certificalion on behalf of the Respondent, <br /> 4. I am aware that ftlere are significant penalties for submiltktg false information_ including the possibility of a fine andlor <br /> imprisonment for known violations. (HSC 251911 <br /> Narrte:0�' Cl Tile' ��'� � <br /> 14 <br /> .signature; r Date: ! ' — <br />