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A N J D A N I N Environmental Health Department <br /> RETURN TO COMPLIANCE CERTIFICATION <br /> Arty MINQB V*Mrhd+rr ft~W11h#'No1144 Jo Cm,ply-m eho ntlnrFSFki Inopvdion froP-DM rrarnl ere g _1rr1h h 34 tjav3 ❑{ <br /> ��cTe�pt W ttus mapedR+n 7:h�c�rtfgcrlUvn loran mull bb�uiwnilfptl en i he EhVlronm4nt■E fiesllt�C1e�h+'1rmf+Tt I t=ML}y address a+. <br /> L19e bdtkmn of thts form wribin 30 days of nKsio of ro et»poi:Wn RPp - "SC 254tM 1 20 N 1 i <br /> f413 tXA*d in thf■rtodiad himpeetm RApWt(PR I or CprilknuuLiorn rt3f Tr ur dMprPas So HrtY <br /> vkAm ww.■A h1 to ruCwrNttpd us**Uleb caft ooeion■nit rehwTn d 10 f:HIS yn"h 3o day r unbas pehewnae spou'riert in 9,& <br /> 1nrp%7Von Repon HSC 2:*1WWt <br /> Fiotir: AFI EH stiff time associated with fall Ing to comply by the above noteed dat+), ui11 tro <br /> Wiled at tha current houlty mats. <br /> For this certification to be CoMplete, JhL�operator pf the aft most indud9: <br /> A suvn*rrt tlbCuffTwn1W9 What oa ilKlive mt cini5 were[&ken or vrill be taken for earl vmolaWn <br /> C�Wws of sarr¢+t4 rersultalmanifW&ttrslninq m-wrrayfalhet appropnate pap rwwk_arKgor pt}oro5 verifying comecttr:s <br /> oaeratx s e wi icinon <br /> Inspection Dater, April 10, 2026 Inspected By- MARIA LOPEZ <br /> Facility Address, 1612 W HAMMER LN, STOCKTON CERS ID. 10/81241 <br /> rer,p"Ity of kaw that <br /> ave oa'racted the violationsspecified in the Inmm)ction RePudfrom th9 abave—mentianed Inspwirm dale. <br /> ave personauy examined thg fnfiowlV doCumantstion&ubmitted as proof OFcomPNanCA FOR EACH VLOLATION <br /> and J 06heve t"Infprrrlatlon Lo be ttVO,aGGUr*W-and CamPlgta: <br /> Phota6_Paperwork V-�-'Statomont <br /> 3 1 am aLrmorized to submit the C,prtifie"On an behalf of the RimpandarTL <br /> 4. f am aware that there are agnlflcant parser sr for juhmdnp false inFormadon,including the ptass;b i1V of a ring and w <br /> irrlpreo nl tar krwwn wldaliona. {MSC 25101) <br /> blame; S-t ,«tx1 an Title_ [ <br /> S rgi'12tEIre <br /> Dada, LA 3 <br /> I <br /> I r, <br />