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`-' San Joaquin County `'f <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)468-3433 Web:www.sigov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CROP PRODUCTION SVCS - STKN 1 1905 N BROADWAY AVE STOCK TON June 17, 201, <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials informatic <br /> online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include <br /> your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received ByReceived By(printed name and title): Date: <br /> (signature): _ Tanya Brice, Safety Manager G —` — <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): U HAZA SAEED, HM Specialist 1 (209) 953-6212 <br /> Page 2 of 2 <br />