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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, Califomia95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.siaov.orD/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Addrecc: Data: <br /> DEL RIO WEST PALLE 1 3845 S EL DORADO ST STOCKTON Se tember 2 5 <br /> Complete and submit --opy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwo <br /> by October 29, 2015. <br /> A copy of the inspection report and inspection photos was provided to Jaime Villalobos. <br /> Please be aware as of January 1, 2013, all businesses were required to submit all hazardous materials information <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 DATETWILL BE BILLEDAT THEZOURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By Received By(printed name and title): Date: <br /> (signature): Jaime Villalobos, Manager <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): ROBERT LOPEZ, HM Specialist 11 (209) 953-6214 <br /> Page 4 of 4 <br />