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Environmental Health Department <br /> ..SAN JOAQUIN <br /> kQJ Nw COUNTY %4- <br /> NOW <br /> 144 <br /> .1 Grearness grows 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 da s of <br /> receipt of this inspection . This certification farm 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. HSG 25404. 1 .2(c)(1 ) <br /> All collections to other violations noted in the attached Inspection Report ( Ill) or Continuakon Firm , or disputes to any <br /> violations , are to be submitted using this certification and returned to EH ❑ within 30 da sunless otherwise specified in the <br /> Inspection Report. HSC 25185(c)(3) <br /> Note : 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 th i s ce r1if i cati o n to b e co m p I ete , 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 resultslmanifestsltraining records/other appropriate paperwork , and/or photos verifying corrections <br /> • Operator's certification <br /> Inspection date ; March 12 , 2025 Inspected By: MARIA LOPEZ <br /> Facility Address : 8606 THORNTON Rd , STOCKTON CERS ID : 10180975 <br /> 1 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 personalty examined the following documentation submitted as proof of compliance FAR EACH VIOLATION <br /> and I believe the information 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 /> 4. f am aware that there are significant penal#ies for submitting false information , including the possibility of a fire and/or <br /> imprisonment for known violations . ( HSC 25191 ) <br /> Name : � Title : OV )k <br /> Signature :. <br /> Date: <br /> d , <br />